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COLLECTION OF 
NORTH CAROLINIANA 


ENDOWED BY 


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of the Class of 1889 


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SECOND ANNUAL REPORT 


ORSETLE 


North Carolina Sanatorium for the 
Treatment of Tuberculosis 


UNDER CONTROL OF STATE BOARD OF HEALTH 


SANATORIOM, N. C. 


1915 





RALEIGH 
Epwarps & BROUGHTON PRINTING Co. 
SraTE PRINTERS 


SIGNS OF TUBERCULOSIS 


A hemorrhage of the lungs means tuberculosis without exception. 

A subnormal temperature (by the thermometer) in the morning and a rise 
of temperature in the afternoon means tuberculosis 99 times in 100, and often 
the other time, too. 

A low blood pressure, taken with the proper instrument, is suggestive of 
tuberculosis. 

A cough that lasts more than three weeks should suggest tuberculosis and 
should call for an examination by a competent physician. 

The tubercle bacillus in the sputum is a positive sign of tuberculosis, put 
the diagnosis should be made long before the bacillus can be found. 

The earlier the diagnosis of tuberculosis is made, the greater are the 
chances for recovery. The later in its course the disease is found, the less 
are the chances for recovery. 


yeas Oe ag oi 


NORTH CAROLINA SANATORIUM 


FOR THE TREATMENT OF TUBERCULOSIS 


(Under the control of the State Board of Health) 


PERSONNEL 


MEMBERS STATE BOARD OF HEALTH 


Sem ONistty \WWAY. PT CS1C Ota. 2.42 6s okie ee cee eee teen. Waynesville 
os as LS Leo gS ee a Raleigh 

Cot. J. eR ee ge er eed, eho Ries 6 as vik Gis larelSie ee ae cw Winston-Salem 
SOT a cba ces ek kee ee cele s ede wees Winston-Salem 
MDT ROMS M DC ANDERSON. 6.50050 kek ee ew cee ee cee ke Statesville 
reeset) PLP IGAUGHINGHOUSE ..5 6 6 nc ew eee wets Greenville 
SEE EN SIMU OU a. sc. Gordes a Fis sc she nes ev ce cece eee ees Wilmington 
Pa TSU ATS) cg 20 BSS Oe Henderson 
MUR MTTIOMEP CONG fe ca ok we ek ee ete ee ewes Jacksonville 


Dr. W.'S. RANKIN, Hxecutive Secretary, Raleigh, N. C. 


NR aa gv dee hn as Be ein ee ease ws L, B. McBrayer, M.D. 
PEI eea Ne SMPCrINLEMUCNt . .. 6. cee et ee ee P. P. McCartn, M.D. 

ue NTE, Tee RO ONT 2 a S. W. THompson, Jr., M.D. 
Private Secretary to Superintendent............... Miss R. WITHERS 

ose OSUIGSG ae) a sig ate oe Miss MAMIE O’KELLY 
Peet MEPLCAMMINUDSE fou oko eo tc ee Miss ANNABEL CRAWFORD 
NN a et eS EG Slo nas, Bld: sae og eo See’ Vee LiL: 

RC UMA OTN Cee elo si sichevs is see) esse e's 9 ove em Jo MS CrARK 

SOTESSIYETS a0 ae Sead ae ee J. A. BOONE 


EXTENSION DEPARTMENT OF THE NORTH CAROLINA SANATORIUM 
FOR THE TREATMENT OF TUBERCULOSIS 


BUREAU OF TUBERCULOSIS, STATE BoArD OF HEALTH 


PSEuC > TRAP ECCRIIIES ate eee Me wee eee race er rarer L. B. McBrayer, M.D. 
ei TEL Ora IslILCAll cic csw-de lee ook noe ee ee eats P. P. MoCatrn, M.D. 
OM OCT CLAL Vinten Li othe Sn fas Sica e eiAe ponies etna Beary aye Miss R. WITHERS 

Se rE Pe) | ait eve ghd ge live 0 availa eld Gin lone «ie R. M. Rice 


Bets SUAS Or ne 5 oe ix pie es os Wie Sino oles hal S oe ia wats Pel Miss B. WITHERS 


4 PERSONNEL 


STATE RED CROSS SEAL COMMISSION 


Mrs. C. C. Hook, Chairman, Charlotte Mr. A. W. McALISTER, Greensboro 
Mr. HAmitton C. Jones, Treasurer, Mrs. C. Martin, Wilmington 
Charlotte Mrs. W. N. Hutt, Raleigh 
Dr. OTHO Ross, Charlotte Mrs. T. D. Jones, Durham - 
Mrs. G. M. Frncer, Charlotte Dr. W. L. Dunn, Asheville 
Mrs. CHARLES R. WHITAKER, Henderson- Mrs. S. H. Brown, Oxford 
ville Cou. J. L. LupLow, Winston-Salem 
Mrs. MARK QUINERLY, Greenville Mrs. J. L. WetTMoreE, Arden 


Dr. L. B. McBRAYER, ‘Executive Secretary 


Miss R. WitTners, Assistant Secretary 


LETTER OF TRANSMITTAL 


Dr. W. 8S. Ranxtn, Secretary, 
State Board of Health, 
Raleigh, N.C. 

My pear Doctor:—I hereby transmit to you, and through you to 
the State Board of Health and the Governor and General Assembly, a 
report, being the second annual report of the North Carolina Sana- 
torium for the Treatment of Tuberculosis, for the year 1915, covering 
only financial statement and medical report. | 

Very respectfully yours, 
| L. B. McBraver, 
Superintendent. 


pee am of 
at ke a 





MEDICAL REPORT 


DEFINITIONS OF TERMS EMPLOYED 


On ADMISSION 


These definitions indicate the furthest extent of disease and the greatest 
severity of symptoms that a patient can present and still belong to the stage 
defined. All patients beyond the incipient: stage fall under the moderately 
advanced stage unless the physical signs and symptoms exceed those of the 
moderately advanced stage, when they should be classified as far advanced. 


Incipient. 

Slight or no constitutional symptoms (including, particularly, gastric 
or intestinal disturbance or rapid loss of weight). Slight or no eleva- 
tion of temperature or acceleration of pulse at any time during the 
twenty-four hours. 

Expectoration usually small in amount or absent. Tubercle bacilli 
may be present or absent. 

Slight infiltration limited to the apex of one or both lungs or a small 
part of one lobe. 

No tuberculous complications. 


Moderately Advanced. 
No marked impairment of function, either local or constitutional. 
Localized consolidation moderate in extent with little or no evidence 
of cavity formation; or infiltration more extensive than under incip- 
ient. No serious complications. 


Far Advanced. 
Marked impairment of function, local and constitutional. 
Marked consolidation of an entire lobe. 
Or disseminated areas of beginning cavity formation. 
Or serious complications. 
Miliary Tuberculosis. 


On DISCHARGE 
Arrested. 


All constitutional symptoms and expectoration with bacilli absent for 
a period of six months; the physical signs to be those of a healed lesion. 


Apparently Arrested. 
All constitutional symptoms and expectoration with bacilli absent for 
a period of three months; the physical signs to be those of a healed 


lesion, | 


Quiescent. ios 
Absence of all constitutional symptoms, expectoration and bacilli may 


or may not be present; physical signs stationary or retrogressive. The 
foregoing conditions to have existed for at least two months. 


8 AwnuaL Report, 1915 


Improved. 
Constitutional symptoms lessened or entirely absent; physical signs 
improved or unchanged; cough and expectoration with bacilli usually 
present. 


Unimnproved. 
All essential symptoms and signs unabated or increased. 


TERMS USED IN DEFINITION OF “INCIPIENT”’ 


1. Slight Constitutional Disturbance. 
Slight loss of appetite, of strength, of weight; lassitude; possibly 
slight acceleration of pulse or possibly slight elevation of temperature. 
The impairment of health may be so slight that the patient does not 
look or feel sick in the ordinary sense of the word. 


2. Slight Hlevation of Temperature. 
Maximum temperature after rest for one hour, never goes 99.5 to 100 
degrees F. by mouth (or 100.5 per rectum), 


3. Slight Acceleration of Pulse. 
Maximum pulse rate not over 90 after rest for one hour, sitting or 
lying, except when due to causes other than tuberculosis. 


4. Absence of Tubercle Bacilli. 

Each monthly examination (if the sputum be negative), to consist of 
a careful microscopic examination, with a mechanical stage, of two 
smears, devoting at least three minutes to each smear, made from 
selected particles (at least six from different parts) of the sputum on 
each of three successive days. The morning sputum should always be 
obtained, or, better, the minute bits that some arrested patients raise 
at very infrequent intervals. It is not yet deemed wise to insist on 
digestion and centrifugalization, or on inoculation of guinea-pigs. 


5. Infiltration. 

Physical signs of slight prominence of the clavicle, lessened move- 
ment of chest, narrowing of apical resonance with lessened movement 
of base of lung, slight or no change in resonance, distant or loud and 
harsh breathing, with or without some change in the rhythm (i. e., 
prolonged expiration); vocal resonance possibly slightly increased; or 
fine or moderately coarse rales present or absent. If sputum contains 
tubercle bacilli, any one of these. 


6. Apex. 
That portion of the lung situated above the clavicle and the third 
vertebral spine. : 


7. Small Part of One Lobe. 
An area of one or two intercostal spaces, or an area not exceeding 
60 to 80 sq. cm. in extent, according to the size of the patient. 


Tue Norrn Carorina SANATORIUM 9 


TERMS USED IN DEFINITION oF “MODERATELY ADVANCED” 


8. Marked Impairment of Function, Hither Local or Constitutional. 
Local: Marked dyspnea on exertion, limiting seriously the patient’s 
activity. 
Constitutional: Marked weakne§s, anorexia, tachycardia. 


9. Moderate Extent of Localized Consolidation. 

An area of one-half lobe or less, but may involve both apices; marked 
dullness, bronchial or decidedly broncho-vesicular breathing; markedly 
increased vocal resonance; rales usually present. These signs are to 
be sharply limited as to area instead of gradually shading into normal 
physical signs. ; 


10. Evidences of Destruction of Tissue. 

Presence of tubercle bacilli or elastic fibers in the sputum or the 
presence of the physical signs of a cavity. There are no absolutely | 
certain physical signs of cavity, but a combination of any four of the 
following signs is to be taken as indicative of a cavity: (1) cracked-pot 
note; (2) amphoric breathing; (3) intense whispering pectoriloquy; 
(4) a veiled puff or post-tussive suction; (5) bubbling or resonant 
rales. “Physical signs of softening’ do not admit of any definition 
apart from that of cavity formation, and the terms should not be used. 


11. Disseminated Fibroid Deposits. 

More or less localized areas of fibrous tissue, producing on physical 
examination, some change or dullness in the percussion note, more or 
less increase of vocal resonance, harsh, suppressed or broncho-vesicular 
breathing, rales sibilant or sonorous usually, but at times fine and 
moderately coarse. 


12. Serious Complications. ; 

These should be limited to tuberculous complications, such as menin- 
gitis, pharyngitis, laryngitis (except slight thickening in the posterior 
interarytenoid space, and superficial ulceration of a vocal chord), 
enteritis, peritonitis, nephritis, cystitis, orchitis, adenitis (unless very 
slight), ete. . 


10 


ANNUAL Report, 1915 


TABLE No. 1. 











































































































Total number .of patients treated during yearls20c 2) une set okee oe eb eae te eee ee eee 268 
Total number of patients in Sanatorium November 30, 1915_---.___.-_.-.-.-_--_----.------------- 80 
Not tubercular. 2S sie bee ce de ond eee ee en 1 
Number. patients to be reported on. 22022. dee geo oo See ee ea Saapaanty ite Fer op Wes 187 
TABLE No. 2.—19 PATIENTS WHO STAYED LESS THAN 30 DAYS. 
Condition on Discharge 
Condition on |— 
Admission 
Arrested ee ueans Quiescent Improved | Unimproved ee 
Incipient=-_2=- 2S ee Se Die OP ae Rs. te SS eee 
Moderately 
AGVaNnced co Tl na se ee a eg eel oo 6 Lee. |S arene 
Paradvanced LO) eee nec cone eleeee one ee aa 5 1 4 
Acute tuber- 
culoSis_ 2.252 eves ge een cele ee a ee ee ee ee ee 
Totals=2- 19). eal eg ee ee 13 2 4 
AVeragcisbay 22). 2 ae tee eee 19.21 DayshiNumbertrainediwele lite ae = = eee re 10 
Tiongestistays--2 sees ae ee ee 29 Days .|) Aversigecain = 282s 2 6 eke ee ee Semele ose 
Shortestistay.-= 2 ee =. See renee 4 Days.) Liar geste atin ecm. oes ee 6.25 Lbs. 
Smallest gainsse: eee ee eee ee Dulas 
Number Jostiweighta es.» sate 2st oe Seen. 4 
Averagen osaweiectes ae cad ter ete 1.94 Lbs. 
Largest, asses ees rane els ae 3 Lbs. 
Smallest loss: see suet ee eee 1 Lbs. 
Not-weighe qe ster ee en ne a ene 3 
Stationary ee. ae Re aa eae ee 2 
TABLE No. 3.—62 PATIENTS WHO STAYED FROM 30 TO 89 DAYS. 
Condition on Discharge 
Condition on 
Admission bt capa atl 
Arrested re ake ry Quiescent Improved | Unimproved Died 
Incipient______ LOlSeae Se eT CR oe Cee eee 5 1 eee nde (bees epelerer gS alee 
Moderately 
advanced 22:30. Sse, ee ee ee ee 6 22 7 pa ae WR oe ee 1 
Par-advanced 721 latacs a eee: | ene ee 2 12 6 1 
Acute tuber- 
culosis.___.-_- tt een ets Re ee ete SR TE oe oe Lae) eae 
Totals 2: G2) ene be ee 13 39 9 1 
PA VOTA POS bAAr-cGe ec. eee ihn i ahi, Poe 57.74. Days | Number) gained: weight..2e0.- - 22 eee ee 50 
Mongest’stayoas. saute seme Sone Sere 88 Days | Average gain. PPR SY SOLE atid et ag SD 8.68 Lbs. 
Shortest stay_-_..___- ‘cheat! = AG ane 30 Days. | Largest gain 2.2. soe ae eee 31.5. Lbs. 
Smallest) gains <2 ee iy Ab ofe ys 
Number lost weight.) <2. ee eee 12 
Average loss... 5). 3 3. oes ee 4.08 Lbs. 
Largest loss2,.4...258... 2 oe 14.50 Lbs. 
Smallest loss-5 4°. - 2 Ae (5 Lbs. 



























































Tue Norrn Carorina SANATORIUM - 11 
TABLE No. 4—106 PATIENTS WHO STAYED 90 DAYS OR MORE. 
Condition on Discharge 
Condition on 
Admission y Reet 
Arrested 5 ho aehadd Y | Quiescent Improved | Unimproved Died 
Incipient... __ 19 5 9 | 4 LD Caen aN an Ne A BEERS EoD A 
Moderately | 
advanced -__50 5 8 25 9 2 1 
HATEACVANCEC.ot\ > 2 --_ Leak 2 12 13 8 2 
Acute tuber- | 
a eas sta he SI Se ps pg 6) Se en (ef a a 
Totals _106 10 19 41 23 10 3 
PMVCLAUCCISUS Vrmee 2 ee cane wnn-scnele 216.96 Days Number lost EVOL Fityceee eh © more Sacco ee ne ee 19 
WMOmeostasaym ener = ae ee 618 DaAVemieAverage: LOSS: 2228 .- osc esen kee eee 8.93 Lbs. 
BSMODLCSUS ta Vrrac- co. o-  eee 90 Dayvsmiplvarcest, Asses 52 eae ee 22.25 Lbs. 
Simic llestlogsiest. make, Car aemnn yee .50 Lbs. 
OLA CLOUT wees ears een onl OD oh oe as eee ees 1 
Number eainedswerthtm ss = ee keer es 85 
Nevena Cor Palys ete eee .ne Seeh 14.34 Lbs. 
Are eStr Pa IN Uke eek eee eee eee ee 40 Lbs. 
Sristlestwoa true te) es wo eee ee 2 20 lubs. 
INO tRW ete hOG Siete rn Sere ern Hee oe 1 
TABLE No. 5.—EIGHT PATIENTS GIVEN TUBERCULIN TEST. 
[EOStUL VC leeneenes eee Ee ete See eee 7 
ISIS GR IG Sad ee ee See 1 
Ota Laer aS eee Se oases 8 
TABLE No. 6—HISTORY OF HEMORRHAGE. 
sn a OE OR Sateen accccewasanacceedcscaca=scelccaenee 120 
Previous Py Pua eat PATE e yO Sait Py we) Bees Le ee 2 a eee 45 
Sees ee ciao PoniconGesonly. .bo9e0 tee eo ao dele eee one eke sek on ebe sede eee i 
Prev TOMI ANG erin Ores OUCOe te t= 3b cc Joc eee ee Soe edad wk weed Seeaet Lake 15 
TRG MES 5 So Og Re IC, 3 os Ps os Ek Ree Ae Pe er Beets Bary Ue, SUES ee 187 
TABLE No. 7—COMPLICATIONS. 
INOGTGIS eee, Sees SoC Vat menses Suey te iy Laryngitis: 222.225 eee Cees ore ee eee 20 
Am latis bul aeeteens cS 0 Reet Sire: Soe leen [ale Wate oe ee ES Se a ees | eee ea vee 1 
peices CHOrOnies.......-u..-vews celecss-. ieioMatral recurgcitationss 950.5) 22=eee— =e 2 
pe ortoaClerOsin: eto? en. eee ies soe 1 | Nephritis, chronic parenchymatous_--...-...-.-- 3 
PTrOnChitisemeeses 2) eee eas te. Ss” ees 1035) SOtitis; medias 522-22. 2222 cose eee neeeeees 6 
Proecno-pncwia0nia.. 2.25. 6025.4..-5--- 22826 SMe aT OulbiSetaeees eocee = eee 0), Se. 1 
Meninesssconvenital 1s... ese ees eee (el Peritonitisuec: pat s222-..csn Seen sooo eee 2 
AD TAto OL es eee ee eT irae ah) sre 1 Pleurisy with: ef UslON 2) sa. t- eee eee eee 3 
SELECT eee eee bine yee es ee ABLAP Feo ANCY. seeerees oe can vaso ee tae pee a ees 1 
TESTE ye es SO A ee ee me Mees oa Gs te Pyothorax:eisecac a edks tooo cae eee geeasaeeae= 2 
aerieNOur ale iaee ge oe ee 8 oe sake 1 leSciaticn a= esse oes ee nee coe ee ene 1 
CONT ATA GEE ee ee Teh DOOM Y UIs es ore se eee an oe ee aeece == 1 
VE Mee yp Pat ae A i tea ee ae el 1 Spontaneous pneumothorax--_ ...-.=-2-2-2-.2- 2 





12 ANNUAL Report, 1915 


TABLE No. 8-SEX AND AGE. 



































15-19 20-29 30-39 40-49 50-59 60-69 Total 
Malewe eon ee 14 23 26 13 8 2 116 
iemalessseeee 10 | 33 17 4 5 2. afi 
SeLotalseee 24 86 43 17 13 4 187 
TABLE No. 9—CIVIL CONDITION. 
Single... : oss ek 2 ie ee ee eo 100 
Married 25.22 23655232:e8e eee 
Widowed... 4.0.09.) S28 oe eee eee 
"Total. ole Gee 187 
TABLE No. 10—NATIONALITY. 
SA WieTICS Sn. ee, Se 186 
Hungarianies \ 3. he Sa ee eee 
T Ota]. Sct. cays eee eee 187 
TABLE No. 11—OCCUPATIONS. 
Baler’ sthelper sont St see eee ee Onna een ene 1. Tiiveryimsins==. 2s eee ne oo = | 5 ea ee eee 1 
Barber. es 5227 Fst cee oe eee ee eres 1: |. Liana bermans ssa ete ono ee) ae eee 3 
Boarding house kee pers= ===: saan eae 1 | Machitnstse. 3 ets ee es. one eee 1 
BOOKKCE Der eee 52s oe oe eek a es eee Go)” Miarmiuie ci ruiicer mista rin (Ue aera en eee 1 
BOOk=DinG eres ak oe ee eee ee ate Aa 1k Meditea lati cherie eee ee me ae a 2 
Brickmasons se ee ee ee ne ae 2°| Mercharitceesetssekse sie ge tes. ee eee 12 
CAT PEI CCT or Bo esa ee eee Oe ete eee ee 2. Messenger Oya ea Re ke Pe ee 1 
Givilten@ineer aes 2 eee eee OP ee ee ft. | -“Ministers2 2... Meee eer, fee ah oe 3 
ler kyimiGt OTe Merce a ye oe ache se eg Oa 71) Motormangstreeticais: see" =a a eee 1 
C@leriOlsoU PerlOrs © Oli tae eee ae een 1. |. (Painter wee eee ae in ae 1 
Couvoment OMe abLy.ca. ss ee eee es 5. |. Pharm ges tos eee sameneeee: eeea ee ee 4 
Otto awiele er sees Nee meaner ge eee eee 1 leeP hotograpi crete eee oe ae neler ee 1 
Deputy clerk of Superior Court_._... _________- 1')-Postofiiceicler ky see eee 1 
TDPESSTUA KOR 2S: uo ae Moe oe ein te a ae ee 1 | Proprietorslaundiiy.--ee ee ee eee 1 
Druseclenks 5 paeae tds ot ccs Mya Sele ORO eee 3) | PROPTICLOTRDLE ssi eeC lu yeaa sae aa ae 1 
Hdivor newspaper eee te. ee ue ee ee 1-2 Proprietor: sawn! | Saeee eee aeeere il 
UX ee uitahaysepen! a eR VM 1}. Pupilinurse= See ee ee ee) See 1 
Electrician see eee to oe) a eee ee ee eee To" Ranly ode cle r kemeaeccoe = oe ee ee ene Coe 2 
WR Boy eae WRN OW da NC les aL A a ae 263" Riad roadecomciuct Or eee ee eee eee 1 
Fireman, stationary. engine____________________ I) Ratlroady fla gina rise eee eee ener 1 
Horemamn veneer plantss=s=5 sae = ee =e ee 1) Railroad statiomen en t= 1 
Hoteluclerk-ac Pee 2 ee oe er 1M) Realestate dealers es sae ee ene eee 1 
FLOuse wife: 20 2 see ten Seo ea ae i hae er 32 Revenuetotiicersses=s eee eee eee 1 
FLOUSE WOT Ks a bill OIG me ae ae eT TSO) “Steno @raypy ers see ee eer aes ae 7 
Sawyers sine ose See oa ee ee pl oe 1"). Stden tes 2 fee ee a es 
Life guard______- ys SA pier” lt Ne a 1 yo Teacher. 225 2cS5 ches ee 8 ee wena 5 
Eineman.(‘Tel,) 3244. some eee ee 1 4 Telegraph. operators....-. osn20-. ee eee 1 
Total 4 22268 ee ee 187 











Tue Nortru Carortina SANATORIUM 13 











TABLE 12.—TOWNS FROM WHICH THE 187 PATIENTS CAME. 
UNOS SU RS ae PMO ORL OUNG Se 24 oe oom onde an DAE ING Leahey hl ey ne D) 
[90,5 AES a ie GS) Ofc A is i Ce ae ae ae int Pipteporole. seen we et 1 
INGO DONO Meee noo) oe PUpClosOnaeeeees eee 8c. ote ISP Rorterst = ont set. Sea ohe 1 
SC Se a ‘i | LGAESS. 7 F2) ea) lc pe a 2 a PPINCRLON ee at ee Se oe 2 
SY, ot Die Give kay eee eee ee ee Dial RUG CHOLO. saree wty 8 vane Sead Boe 1 
IP inGenDOnOmsse tes So er uka. e Iai GreensbOLl Og rn a) oc ose tee Galeyclerm hm aeae oe PT er 6 
ree waves oo. at eel ae Ape Greeti @wees ko Jc. 2 eS aii Dae lSyoumineree. 2a WN 1 
TD UL o Wee os a ok Ue lsvamn letters. 22S eo ep ekerclengliae Sb eee 9 
Burana fo: See Ca EbenGersOlere ns cece. te) le 24 Roanoke Rapides pee tees 1 
[Bub eet: 2 SN eS eee eee etic Ores eose et ee Se Ee 13 Rock Hill 2 see ee ee ee 1 
CEYCINES TON ns 2d, I 5 Ps a ha ee i VED ed ned 2oib ayn eames a eae le ml atoreltauaved etiod a 208 1 
CHOVVENHOLS Ls eg ep alelinliesao wets oes es IE Ye le ENO Cyan VI(0 unr jee ee D) 
CARs Jenna Sa ime SDOrOee es aaa eee ec: ee Da MRVOSGs ETT e eae wa >be ee 1 
Whisroe lls eee ee ee SL PelPUMtersimlles sews fob ase oe Deithvoxo bel aks Sadar me ee 1 
Carlo pres ewe ee aheELCnt Oversees ewe eee {Sh Salicbuisy =e Oe ee 1 
@mnmatGrovers..o2o2eeese25252 2 IOAN eI OMe ek Ses een eS ee Santord: 2eee. cee gee lee eee 3 
Glitisicl Cena re maee e SE Hie NE eeTNG eerie CR yee ol Set 1G) ‘Serr! Use honc sass eee eae 1 
GOWC ORG mee pee ee ee ELS 4 | Kings Mountain______---______ Del Siler: City2sco= ee 1 
Cooneneem tue pha Seee eS aleereric hte al esaeeecee ee SE Les PAS pPartads = e2-6. oe een SE 1 
Gorin t ere. Oe eee ae el / MMC GOnesEe Settee.  ee 1 ac tal G yee we Cee oe be | 
COE (Oi Ris ee See, eee iie\tanchesvenes..-2ck hee u anes Lal Statesvil l esas. eee Se 7 
Creed moor.#. 2. Jo2seang2028i2-- J Sheil WY RewaeVoh ele) eee Be eee een Bo, me LatStokesdale: S33 sees 1 
IOP asia ee ee pievianteomeseeccn. write Sukie 19 hobaccovilleseess) eae Seen iL 
Daryda 00 kext reed Bek eee EEN lmieiGarsh wallow ow oS SDS: 1) Troutmans=-=22.20 22-2 1 
NS OTe Newer ee ek ee eee eS MeN acolo ues Oceeesceate s. Le WiniomeMa see eee = 1 
iDoloeon Le eee ee ae es oe mie VWieNdenval less seeceee ee eeee. Tale WadesbOrOsge 2 eee ae eet = 1 
| ES, SU Poe a PERCU aL Sele ees. SDs Bas se LSeWalnit Covel.-esese ete eee 1 
Dreier S Sen ese Snel lpia 4 Cas ce neue eee ek Be {oe Walstonburm:<<-2-2.-s5-20L_ 2 1 
Geno Neale. cee as eee. the | SAN Rapeh oyster eet Ue A Spe Date arsaweerss 4 ree ee ieee ee 1 
liza petheGity= seem ees Le Bmp lounteAgr yee.=— ees ee ee ee LSP ashine tonseseee4 eee eee 1 
(oun. kes eae iieMiount.Guleades 22.2 see ee DAW Cld ons --aee enews cee a eee 1 
Lich UG Bes i re ne = oo fh LOMNtELOLy 22. uence: dp Wilson 352.4. ike osace 2 eee 2 
Roath) wae can ee 8 Le VLOUnTIO li Veneer eee see ee fe Wall<esb CrOsseeen eee see if 
Los to ee ee LM ounts Pleasants 22222-2222 2} Wilmington______- aetee Eye anee 1 
“UES G3 bios tI, he ee TeiNew sberlin... .c...52-<...-.=. MES Windsor ss... ae es ae ee 1 
[Blaming OL Gee ee ee ery tes i ilmimeNewebernmes a2) 5 2 coc. eee Ze VWiInstOn= 3 91 e0es aan ane ee 6 
1 Baul Uke ea} Lee Race B= ee ee (plsNews Hall@ss ea. sse ce oe Pury & (sie Woodland tee ee ee cose 1 
Darrivallepe oer ereee Oe ily Nieienrevere beet ee oe ee ees tale Yead kanya 6 ane eee ees 1 
Peveprevilees tn 2. 2- aoa se Fae lle OBS AG ie bac. ecseea 5ge e a e  e e 1 _ 
ine ro riteeeree see Be Ma ens oe TMIRPINehUIEs toate aoe ee ane 1 sd AEG ow cae me Ap Te) 2) ee 187 








14 ANNUAL Report, 1915 








TABLE No. 13—COUNTIES FROM WHICH THE 187 PATIENTS CAME. 
Alamance.) ee ere ee 5 | Harmetts. s.r 2 Rocking idineon a= =o. Sea 
EA eo yay. oe ee le | Palskiltigpes. 222 ea Sah Ruthertord 2-5-5) = oe oe ? 
PATIS Oe Soe oe a ee I} Hendersons=-22 = eee 1 <j Sam pons 2-5 =e eee 1 
Besutori2: 2.2 ss... see eee ?)| Hertiords =e 2eScotland= <= es see eee 
Bertier: 2.0 2 oe ee eee ee 3.) Hyde: 2s eee 1 Stanhye. ae See eee re 
Bladen YS <e hace ae Aes 2:| Tredelle.. 2 eee ee SMO tOKesssesss 2a... (aes meee 
Cabarrus ea. 3h ee eee 6: Johnstons22- 2) eee QUE SUEY. 20. eadt eee a ee ee 
Catawpase ests 5 elo Tae ame Qh ee. sisson 4. i UNION 252s 4. ee 
Gaswelloee ies c. >. see ee ae Ie) Lincoln 2255. ae 1 eVWianCGs 2.22 oe ee 2 ae 
Chath antag aos aay, 3 aye et 3 cMartin 22-235. 3.2 eee typ Waker. = soc ere aera 10 
(CHO we. Nacie ser ee ea 1) Mecklenburg = aaa LOA Warren. 27. be ee et eee 
Cleveland $i¥ t=. 2522 5 eee 1: |) Moore:s... eee ly Wayne: 52 ashes enn ss en eens 4 
Colimbug. 5. 20. oh eee 1 |) Montgomery... -22. 255. 2 4 Wilson. 42 421k ee a ae 
Graven. 25.2422 0 see 5 eee eee 3 New. Hanover: asa iis Wilkesit 2... 2 ee 1 
Cumberlands 2-22. Saat esneee 5 } Northampton: .) eee Ott VApCey ceo). cas ceuecee Sea ae 
Dares .oa nee oo eee 2 Oranges. 552.2 e Ay Yadkint. 22.2035! 2 2 eee 
Hic ie aan 2 oe ee tee es ae OS Sih Pitt. =) 2 ee 7 
: SoutH CAROLINA: 

Burp lini seers Nee hes aaa 2 (Pender: 2. 2 oe ee 1 

: Marl borg. 22 2. S een 
Bdeeconmbes 25:22): ase sie s Br tr Pamlico.. 25-8. 1 York 
HMorsy thai Ps ates Mens ea rn |) Pasquotanks.--s5- 2-2 === Sa aeo se tec. > ee a ie 
(lastone ex Aa. Jay re. amber ae 4°) Randolph... ...-22-2.. eee 4 |GEORGIA: 
Garin villes ee oi ae panel A. Richmond 2-25) oe Dale icerate vis oss bee 
Car Cen shea aioe ee ene 1) Robeson: 3-0-2 2-2. eee 3 a 
OUT ORCS eee de en Oe ee 1 Rowan. 245.4222 2 Tota | 2 7s eee 187 



































Tue Norra Carormna Sanatorium 15 
AFTER RESULTS OF PATIENTS DISCHARGED FROM THE SANATORIUM FROM 
DECEMBER, 1913, TO DECEMBER, 1914. 
* INCIPIENT. 
Condition on Ae Without With 
Discharge Condition December 1, 1915 Tuberculin | Tuberculin Total 
ware ancl nwiOl kiN gestern. oo ecco ek 0 0 0 
Arrested Living and not working_---.....-._..___.__- | 0 0 0 
ee iD yey | kn iss Li RS | 0 0 0 
TOE SS ee ae a a 0 0 0 
Piao ran ny OT MANS e oe) we ccc eee 1 1 2 
Apparently | Living and not working____--._-.__________- | 0 0 0 
Arrested Steel so. 0h ae i ea ae ee 0 0 0 
2 TL Rie 2 ie aie ie al ee 0 0 0 
MaycmomencawiOnki ngs: 22062 225.0 ona s 4 0 4 
@mescent. 4 .wivine and not working.._-.°._...-_..--.-.-| 0 0 0 
4- D1 eee nee on ae 0 0 0 
a) i Te Se eye Mee 0 0 0 
eanerane working..-.-....--.---.--------- th 0 1 
lmprovedunisliving and not working ._.............-..-- 0 0 0 
3 ete)! 2 0 0 0 
IORI e SS cS a 2 0 2 
Living and Per ee ee Shih Brel ee 0 0 
ienumnproved |: Living and not working.....-.._........_-.- 0 0 0 
0 De dl pene eer te 8 0 0 0 
ILYOPRB eps ais, Suey Se ee eal 0 0 0 
NVI an WOKING 0 20 cen no nn , aes re 7 
Total iiying-and. not working... 7....-.-.-.=.--.-- . aa 0 
9 VOY SEW 6 le = em ao - coset wegen ae et ee aR 23 we 0 
TE fofSH ice Sy ot ST a ea oe =~ es 2 





16 


AnNuAL Report, 1915 


AFTER RESULTS—Continued 


MopERATELY ADVANCED. 














Condition on +) . Without 

Cischarss Condition December 1, 1915 Taberculin 
Livangevand! working ae a ae eee 1 
Arrested Livin gad Not workings sss. ees. 0 
2 Dead estan ete ee eo ee 0 
LiOpt2c200 oe ot be oe eee 0 
Living and woOrkingss==22=s2=) = 5 
Apparently | Living and not:working..--_=_-22_s uae 0 
Arrested Dead = <. se sete 3 eee a 0 
5 MOB be ea See ee ee 0 
Livinevand? workin ces. oa ae 9 
Quiescent | Lavinevand notiwOrktnG === eee eee 5 
16 Wea ditcrs . Sle Wee to eye eye ee 0 
TiO Stree. 2 eae eee eae eee ee 1 
lGiiighates Chavo, uOrd anaes pia ee 25 
Improved: si Livanevand notwworkings-o=seessa. 9. sana 10 
47° Dead oes Olesen 9 
Losti22e Ae eee oe eee eee 3 
Divan and swor kan cesses eee ee it 
Unimproved | Living and not working__...-......__.--2--- 0 
2 Dea aie oo oe a Oe ee ET eee 1 
WWOstseesat Be ee he a renee Pek Dee 0 
ivan @eand ew or ki ricee see ae se 
Total IDiebayes FmGh avon yeOieltauayes le = 
72 Ded iaeieas AT RES ae Tl hin re) pais 
TiO 8 tee ee ee a 














With 
Tuberculin 


oS oS 6 oro & Sr Oreos Soro > 


OS QarS 





Total 


ooo un oor Fe 


me Re oro 


25 


wo 


oOorROor 


16 
- 11 . 


Tue Norru Carortina SANATORIUM ie 


AFTER RESULTS—Continuwed 


Far ADVANCED. 











Condition on aie a Without With 

Discharge Condition December, 1, 1915 Tuberculin | Tuberculin Total 

Havinoand ow Onkingeeess 8228! ooo 0 0 0 

Arrested ivimerand NOt workimg.. 02-22... .._.._..- 0 0 0 

0 Deal soc Shee Ege ee Ns Se a eee 0 0 | 0 

IGaste we tee. a eee 0 0 0 

Beier ne WORKING ces se Se 1 0 1 

Apparently living and not working. -.-.-.._......-..--- 1 0 1 

Arrested Deselect alge 0 0 0 

2 as ee es en Pee ee ee 0 0 0 

MlunginomancdawOrkine. 2. 2205-0520 —4 Riacseals 0 0 0 

Qurescent. “living and. not working. ..-..-.:....--.--_. 0 1 1 

1 1d) C10 ee Mp  A k 0 0 0 

eas eee ete WE We te 0 0 0 

Living AIG WIOT ING eeee a ee 1 ue 2 

immpro veces bayane sane: m0t WOrking._.:.-._.-.2--222.-2- 6 0 6 

Oye Wea eee eg terre ON es 16 0 16 

pg oe Se ee 0 0 0 

having and working.-_...20.....-._-2.---.2. | 0 0 0 

Unimproved | Living and not working___..-.__------------ 0 0 0 

33 ec mete tte SP To ee et ad oo 0 33 

ese) ta a Es) ees a re ee are | 0 0 0 

main eeand, WOT kine =. 420.2 k¥seocaen-un ae a 3 

Total ivi owanG nO WOT KANO ee ee eee | se an 8 

60 Wea ea reeeee tue gee eS eats 2s | ae o3 49 

fOs teen ane eer eh Se eda A = -- | 0 

















In addition to the regular Sanatorium work, the medical staff has exam- 
ined without charge 232 outside patients for diagnosis and consultation. One 
hundred and sixty of these were examined here at the Sanatorium and 72 
were examined at Wadesboro in connection with the silk mill investigation, 
mentioned in 1916 annual report. 


FINANCIAL STATEMENT 
December 1, 1915 


ASSETS 
Appropriation account + 3.30. sa's see eee $ 65,000.23 
Real estate—Farm | 3 cscs es ouig le te arene eer ne 11,048.71 
Real. estate—Hospital buildings... 2.5) Wises eee eae eee 65,164,55 
Pump. -Statlon yi fe 5 wee hae ite: dec ate te ee re 688.00 
Barns and silos =. 00 os Pk ee ee ee 2,232.01 
Acetylene light ‘plant °. se)... $3 fs cee cee ee 645.17 
New ‘building i... 2 oo. 2 Sa re 22,321.71 
Inventory: . 
Dining hall and kitchen furniture and fixtures........ $1,112.15 
Hospital furniture and: ixtures..<. .. seen ee See 4,716.12 
Nursés. Home furniture and fixtures. pee eee 520.27 
Superintendent’s residence furniture and fixtures..... 144.80 
Dairy: fixtures: 6.00.50 04. Cok ee g ee 527.05 
Farm live stock Jy... 2.20. fe faa 2 eee 350.00 
Farm-machinery and tools. :2-5%. 20. eee ee 499.36 
Dairy ‘live stock ie.h cies. sce hes alee pee 2,601.00 
Crockery and ‘silversvus se 2a it Oe eee 219.28 
Linen and ‘bedding’ 202. ..2..% 6 oe ee ee eee 1,427.93 
Drugs and: medicine’ avy. sec wee cl 125.00 
Hospital: suppiMes. a. a. dicta cncn.c bscec ols ee ee 433.75 
Atttomobile. 2. ot. St ae eee 350.00 
Farm ‘expense “(feed }2272 25.7 Oss eee 280.00 
Dairy expense (feed) ..u.5 <5 ms os eres bccche kate nee 1,084.15 
Provisions « si se. .crewoPhnile a oth pens ee 252.02 
Coals a ee a ak ee oa i 19.50 
Books—Training ‘School... sa. ee 58.18 
Hospital <dray is 355) Als en ee ee 76.00 
14,796.86 
Cash:on: hand and in bank December 1.19 )oc pace eee eee 1,993.48 
$183,891.42 
LIABILITIES 
Appropriation actountt 2.42. (eee ee ee $ 65,000.23 
Unexpendéd/ Library fund \.2 30 Yaa ee eee 26.98 
Net WOPrtl ise. 2 etca ees aco athe che oh San Dip eae oe 118,864.21 


$183,891.42 


Tue Norra Carorina SANATORIUM 19 
CASH REpoRT FoR YEAR ENDING DECEMBER 1, 1915 
RECEIPTS 
Wapmmeremancmbocenper 1, 1914 we eee ee cee $ 443.06 
ieaemeinepankoisccomber 1, 1914... .. 0... ee ee ee es 259.96 
$ 703.02 
Peron OpLODrIalion:, Maintenance ...........0csecseceees $25,000.00 
Permanent improvements .......... 30,000.00 
MEADE POTN Meme) s ots as os hs bre ys nim € vd os 10,000.00 
——— 65,000.00 
Recewveuweim patients (B. and T.)............ 0c ce eee $28,388.88 
ar aigneeia Is MCbrayer, postmaster. ..........0.0eeeces 215.52 
Sundry Receipts: 
SOE DNGY A PERI o S r 475.39 
CN Se 246.97 
IE OE re Gk os kc ce ma koe vee nese 200.35 
RRM VOOM TCs a fee hs ee ews oe te ee bee 5.08 
eee OEIC WALCL Oe i goes co wc eb east cc tele ewer n ee ee 15.35 
POOH ema UC TClOCOTAINS 0.0006 sc ce cc te ev tee ewe ntee 18.69 
EE ETI S ATEOMCLY 92. chs cee cp tc crt e ews ceecenres 47.35 
Pe CO IGICECS lo ica t cc tt tee tte eens 2.00 
ee coe) hosp dese desecues 6.16 
EI MOE STOO UTITUCG ithe. se ccc ct te ce ts te ee beers 29.92 
et Cm iy oc ae the ce eb ees ede 4.50 
err UUIE CE ROL Gre Ort. vcs es tee ee ne ee eee 7.60 
EEE OS Gin CT Cy RI 0 a TOW 
fe OMICS gee em he ee et ee eee eee 50.00 
29,721.63 
ere eR aL, ea ce Sere Geo, ot. Gia, Shays, toece ey 2lsys. ooeun 85 9 + wen tua) ® $95,424.65 
DISBURSEMENTS 
Accounts payable prior to December 1, 1914.......0........2....5. $15,033.62 
Bilepayavieprior to December 1,,.1914. 2.2... cc cee ee wile o ole tains 3,074.48 
Construction and Improvements: 
New Building: 
Payments on Main Building contract............+--.- $13,233.00 
Petr oevOrmevialne bUUdiINngSs vac sec eee tyes ewes ees 343.71 
Pay Mente onshot-water CONTACT... 2... 60 ce hese eee tlet 400.00 
PayiMecnis On PLUINDINE CONLTACL. .. 6... ee wee eee reer 1,745.05 
Payments on steam heating contract..........-.+--5. 4,200.00 
Payments on power house cContract........--++eeeeees 263.33 
CITI CRM ee ea Vike 4 5'5 fg ate Bathe MELSS 1,614.46 
Advertising (notice to contractors) ........-.+++-+++: 13.44 
$21,812.99 
Acerviene TighteaPlant: .. creases ee ee ee ee ted meso ers 645.17 
New milk house, extension to cow barn and improvements 
HRM IMT LCL TO hee ety oee soe wc ernys crate mies sieves Fe ke eee oe 1,970.59 
RaeEBCCOMN Coe ie cody ea eee seh ee Hee nS AL eer et On 183.36 


24,612.11 


20 Annual Report, 1915 


Furniture and Fixtures: 


Dinine hall’ and kitchen... 9 aster ee $ 59.50 
Dairyors ce ces whee sok Bae ee. ee Bee ol on 320.32 
HOSD iba. wack sob SEs dsca ts ete arte epee se eee 1,725.99 
Nurses’ HOMeC) fits os oe oo ee 0s «0 eo 103.37 
LADLALY oo. ccssole ce 4 ola bs giv &, sreph nko ue eres Gea ae 73.02 
Superintendent's residence: ..5. «ee eee 144.80 - 
$ 2,427.00 
Dairy Five: StOCke 6295 ais « as asm an lee tie eee $ 680.55 
Hospital wd rayirie os. occa 5 Vx is as eee 76.00 
Automobiles cose clits Pe eee ore ee ee ae ee eee 305.00 
——— _ 1,061.55 
Running Hxpenses: 
Parmmachinery iand. tools.2 .. s.s-sskeeee eee $ 4.30 
Gite Gl 429s doe eer er ER kL Sg ae eee ae 137.93 
binen, and Dedding.. 3.455 ~. s-.clea andere ene ee ee 498.83 
Drugsand «medicine: spas ee 595.90 
HOSpitaly supplies ae. sete. ene. oe BRL et cd er 2,314.96 
Office. supplies ‘and* expense .oc. eee eee 1033 
LOO sien stan! 6 Bo ws HEROS RS. ORIN 0, Sel ee 882.48 
Books—Training School... ....... 2<: saa 58.18 
PPrOVISIONS® 652.4 603s os PS was Fe eee 15,944.75 
Fuel slight,;and: waters. {3.4.4 sss es ee ee 1,825.22 
Preight,.express,.and .drayazes...- +. nee eee ~ 953.78 
PATTING OX P CNS ©: Pes ises ann. vie sw Gap dice a 2,337.26 
PUN AE Ye ocho ele « ated ad ows gn Boe beak acne 2,228.98 
Dairy ex penser tee 65s ns he ee io ot 3,275.38 
Telepionerangdsteleégraph). «. 4 occu «ocean eee 129.35 
AUILOs EXPENSE 4 )o AS Sn cial oo neces Ge 453.12 
Stamps ANGWSLtALIONEFY «cc sic ates + sigue og neneRe nena 394.18 
ENSUTAT CGMS iy + SO ew o30ls so eo ao eee 305.00 
Traveling OXPense:.a im 4.4 «ise hee po ee ee 734.83 
Repairs pump istation........ 220.5 Ae eee 307.22 
Plumbing repairs. 8)... ..cccs of PER ee 206.99 
Plumbings (salary). cic &s. ce cc wae woe eee 492.00 
(6): 5 Saar mrana rier rt a AM Sr i es cy Sie 187.43 
Salaries A ite eo Jee es eee ee 6,657.42 
NUrseSrsis oc. aed wei dew ooltelnw od ea 8 pee 1,496.64 
Bervice COOKS, -CUG.. oa. bs Se aces a cuvette 4,514.16 
Interest, sew. th vixg emg eake pane bic chee see out eee ee 184.79 
————— 47,222.41 
Cash on hand#December 1,-1915..-. 24; sees eee $ 414.06 
Cash in*bank® December 1, 19155...) 5ie0-e. at a ace ee ae 1,579.42 
1,993.48 
$95,424.65 
Total running: expenses-for the year. <8. eae eee ee $47,222.41 
Total numberaHospital-days for the year... ...... 7... oe eee 39,1413 


Per Capitas Coste Ou. ore we. s = Be ot ale « waiein wlan = enter ea 1.426 


Tue Norru Carorina SANATORIUM 21 
STATEMENT OF PERMANENT IMPROVEMENT FUND 
RECEIPTS 

aeRO IS Wa) Cie OBEN Cer Ne. ccc bv sb ive aw aaereaaawetneacals $30,000.00 
Transferred from maintenance fund....................6. $3,871.15 
Peo etme TONY CXTONSION TUNG... ics. eee ene w cee cccwes 6,845.83 

10,716.98 

DISBURSEMENTS $40,716.98 
Accounts payable prior to December 1, 1914............... Sl eeeete 
Peep ayavie prior to December 1, 1914...............00.. 3,074.48 
TST: De oe 105.86 
ES STO) RN 26.89 
uM Pe CE hw eee tt te ee as 6.00 
SU oie SED El 165.17 
See Os ee io ele ais cc a ec eww goes 1.90 
a OSI EET eeu 605.00 
an TCS VALCE ee ss Cc es ce ee we tees 15.40 
PPM ATOPIETOVEINGETIU ot sce. cy cic. sce ec ose ese ees 851.79 
AMEN ERT CIS IVER SL Log eee nis oe oo soe oe 8 topes so anc 371.50 
TI cg ote vet ea ly Haba ie rr 305.00 
caer eroMePrT LCST eand TEXCUTCS 6.01. ee ee eee eee 428.92 
Se SR ns ag a AS 76.00 
Dany ee xtures, 2.305... Pen e Me eNe c0, Ss WEEP A as ss 122.50 
Superintendent’s residence furniture and fixtures......... 144.80 
a Sg Eo. oo 605.55 
AOD og a Gace en 22,308.27 
ee cc ee ese wee mee reecsece 74.11 
CUE ES 0 che ae ee oh Maer a A a 29.20 
Pier es OiseerirniTure and TiXtures.............00.ee- es 40.37 
ipie Nalmeoiidre and Hxtures........ 25. cece ewe twee 50.00 
Pay meu OnNesuiday SCUO00! PIANO . 2... 066. cece ee ees 80.00 

$40,716.98 

STATEMENT OF MAINTENANCE FUND 
RECEIPTS 
PRO DHODRIALLON ws 52 ciate eters wed os ire A ee rn eee ore Nein carn Sener $25,000.00 
DISBURSEMENTS 

eh OM Pe cas gies bes) 8 oiled one eke me ea eee $5,382.42 
PAU ATVs. esta. a OO ao er eer en 250.80 
PTOI D DULGSue ex.) = «ou irc nose 0 Go ecce cis 2 te sysop sue 557.41 
PO LOTTO MII Gi opte ok etc nGtise, a ese, aie doauel sian, #844 we BLN we teeny et 245.34 
Interest... .. . Pe ee ee peers ae earache eek © Se 3.00 
PM UIA TIT CSc nis. eae s pie aers, to 9 oh pin teal oveerenrn ge teh 74.15 
PAC OUVPet Gm SNTSPIANT ooo cece coe oe ie ology eter e wle oeunye oe 12.47 
Office supplies and eXpense.........- eres ec rere rece rscees 19a T0 
tas ee Ue Ag gcin aileh al Bote asia © So Tajene te serie se! (a aye 1,349.14 


22 AnNvUAL Report, 1915 


Farm expense) <icux SEeeonaehneie Sea eee ee ee “tee $1,656.93 
Dairy \GOXDENSGhak cai eRe. eA, ema ac eae cee ee oe ee 2,558.78 
Fuel,light sand water. % 14.0 cnet iran cel a nea ee 236.43 
Service cooks, ete... oc. wai iw < cma) sm oe RO 4,324.51 
Plumbing (salary). o...i.c.46 es bums O05 se Ct een mene 492.00 
Traveling @XPENSE .. 6.6565 su 5 tes mtn Sly alee 155.48 
Library: Lurnituresecte. ess lhe 3) o.0 ee ae 73.02 
Hospital-furniture and fixtures*.. v2... 22 eee eee IZ 
PHOWVISIOWS co isehelee. och ea sion ecko awoke be eee 1,603.63 
Telephone.and telegraph.:... .4,, 4.cuhe pee 16.26 
| ko en ee a NEM MTEC ERAN Ce oe A Be on 28 29.76 
Drugs and ‘medicine. 204-2 2. oc he 0 sce ee 9S.L4 
GrOCKCIry, feb iece A 6 ba sel a oe aos ipun ce Sin, eek eee enn 81.40 
Linensand bedding «+ 245. Mei ek eee 427.54 
PuUMP.YCDAILS x eces Foe ees ao nik he ee ee 199.41 
Building and lmMprovement x. 22 secs ac een en 10.00 
Freight.and express ijn 10) 0 ee oon 170.36 
Improvement, Hospital 25.07. 22. sate ot cee 39.06 
Stamps and stationery i. sages 2 eee ee 52.60 
Accounts payable prior to December I, 1914... 02. ....... 1,002.81 
Transferred to Permanent Improvement Fund............. 3,871.15 
-$25,000.00 


STATEMENT OF HXTENSION FUND 


RECEIPTS 
Appropriation vw .. feo en A ee $10,000.00 
DISBURSEMENTS 

Salaries: 7G... ne ne cle d nc beda tee PR et $1,225.00 

Nurses’ 6.8 GME. 6 ce en's dab wn © 4 dled eatin ae ee ee 67.50 

Traveling 6Xpense . 2. cece dseceveaene dss Dee 574.95 

HOSPital Sitp plies—es. a os se ew oe cel ee 45.83 

Office @XpenSer Foc a OS len wre eee eso ee 5.42 

SCAM PS co vce cos eae aca he S besue ead foge’ aneheg dace se cane er 50.00 

Office Equipment: 
Multigraph.. .. f.c% ce cacke do oc sw oe ave nee 595.16 
Addressograpn wr eae 5 0. eee ee 182.72 
Bilin 2 CaDINGUS: < ...a.cl on 2 2 hue eee 107.27 
Typewriter desks 0.5 Soe @ lem teaer en ee 47.72 
Hnvelone-sealer i056 <b, da do eee coe eee ne 25.00 
TYPOCWHITETS oe ce os arvhe et ee cee tn ae 162.00 
Desks*and chairs’... 0. wa se ee ee 65.60 
Transferred to Permanent Improvement Fund......... 6,845.83 


$10,000.00 


Tuer Norrn Carorina SANATORIUM 


RECEIPTS FROM PATIENTS (MAINTENANCE) 
RECEIPTS 


Sasveonsnandsand insbank December 1, 1914 .....0.... 06.0.0 cece eee 
Cash received from patients, board and treatment.................. 
Oasoemecerveur rom sale of supplies,etc, .0. ce ce ee we ween 
Cash received, donation from L. B. McBrayer, postmaster 


SiRe. Oye hele) cate eo te So 


23 


$ 703.02 
28,388.88 
1,117.23 
215.52 
$30,424.65 
1,993.48 


$28 431.17 


Less cash on hand and in bank December 1, 1915................... 
DISBURSEMENTS 

mecounts payavie prior to December 1, 1914............... $ 2,802.04 
nN ee te nc ew eens 75.00 
ORE Si 197.82 
Dining hall and kitchen furniture and fixtures............ 9.50 
Re eee MPeraNd TXLUTCS. 0... ee eee ee 99.47 
Pee OMomurniture and fixtures..............56ee000 63.00 
Eo STNG Leh lea eS 27.10 
Seren ON TE ee ie cee ks ce ee ee et es 13.44 
Per MEP IINVFOVCINGNL. (oo... ee ee eee 145.66 
Coe eg ey TE Rey 21 Ses 43.3 

diese so otk eo Gee ne 109.25 
Poo VReROla eT Sice GSN nae IS) 4.3 

ta gg ce ee we we twee eee 56.53) 
Linen and OR ye. Ao Ties 
ORIG. ac cei oe ee ee ee ee es 502.13 
HSL) SUD ORGS! eI ee ee aaa 1,526.36 
re eMEe RICO AN CIOXRICTICS .- ca ce ee ee ee ee ee eens 76.24 
NOG) 0 ka to oe otter 852.72 
COG Se AUR SOAPAVES SYTA O66 SMA ee Pc a ole2o 
Oo AICI RATINE. 90 0 9a a ace a 14,841.12 
EL, Leas GANG Bie Uae A aa en a aoa ara ae Lb 13239 
Re Te eM ITO MU OSC 6 eal ash osiele vn ek eye ee eae ee ea es 618.25 
i GuP Ad) GPCRS. Go. 2 SS 6 sneer eet 680.33 
LLOD) OU Gy etre ae i on RO A ee SI 1,978.18 
Eh co SUSHI ae oR) 4 A ga 716.60 
Telephone Pe OG AD) neem a, occa ole) ets a hele ele iawe eae eds us BIS 09 
LSU Co SRG OYSNIT ED 9 Sle gnc Sen 207.78 
Peter AUC GEA LION CYY ca 5465 4 5 we ee ee i pe eee ee eee 291.58 
JOT ORIN 2 a 8 BRS eaters te a a ec 305.00 
Mera ROME X CTC MO iv es aa. eel S ot oS ee hes ao bet ime wan a 4.40 
ee eat STAT SLALOM tle oa ose aie hp oe ele sw a ence one el ene oe e+ oie we 107.81 
PINT) SaT CUAL ted oie es shen wigs 4 ne wlb loo pA le ae Mite Oho Wore wl 126.84 
Cs ee a ys. aire ve nuln cb Tole fere/ on aye are abe ipo ne) 8 wane 187.43 
Salaries ..... | ESS RIES tet mene one eee tae 50.00 
IS EW PESTS). Shep Bohn on in ST OREN LE ROAR er PRT ea 80.00 
PTAC ONCOO RS CLC eo pris on vik. wm Ae bn cage fees Ha ew Hagens Soe omy 189.65 
WTKR) Sgt A bie er ee ee ee 152.59 


$28,431.17 


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‘asf NI GNV CHLYTANWOO MON SI HOIHM JO DNIM LAGT-AYVWYIANT “ONIGTING ONIAIBOUY ‘ONIGTING NIVW 









THIRD ANNUAL REPORT 


OF tHE 


North Carolina Sanatorium for the 
Treatment of Tuberculosis 


UNDER CONTROL OF STATE BOARD OF HEALTH 


SANATORIUM, N. CG. 


1916 





. RALEIGH 
EpwArpDs & BROUGHTON PRINTING Co. 
SraTE PRINTERS 
1916 





NORTH CAROLINA SANATORIUM 
FOR THE TREATMENT OF TUBERCULOSIS 


(Under the control of the State Board of Health) 


PERSONNEL 


MEMBERS STATE BOARD OF HEALTH 


PPT UTIONVAY, FP TCSIGCCRL. occ ccs coeliac tees nen cccens Waynesville 
are MPV GET Yy US Tete sie’. c Wise oc) abs whe di Walegellle we se ee ounce Raleigh 
One) ais LUDLOW ..... +++ UP ie 5g esiuey a 5. ster so 5, 001.5; = (0G) $i 910/50 aij Winston-Salem 
ee RI CT cre so oo nc es ts lees eae ce eine sea aes Winston-Salem 
RETO IU SUA NUDEBRSON. 600050500005 ce csc cree c wees cen eens Statesville 

pee ees © Le LAUGHINGHOUSE .... -. 200.00 e se cccccvncess Greenville 

es RENTON OUP ec clos vine os ce ke rele ee cee ee tees Wilmington 
PO ee ESTE Gi ao ES Henderson 

Ce Se Ee © PGS RFS OS a rr Jacksonville 


Dr. W. S. RANKIN, Executive Secretary, Raleigh, N. C. 


Su SOOO yy L, B. McBrayer, M.D. 


Peer erAT Pm UDECTINGCONGCNE 5.55.05. oc ce ce ee tees P. P. McCain, M.D. 
(GE SGA 0 S. W. THomeson, Jr., M.D. 
Private Secretary to Superintendent............... Miss R. WITHERS 

OE IN NYRRYE) ses ae Miss Mamie O’ KELLY 

reer tere E TOA PNUISC 2.5.06 <b e p oe ee ce eee ...M1ss ANNABEL CRAWFORD 
EIEN 2 stn AS Se i a a a Viel. gt 

Pune cHIN Ome PON Ifans. «cf a ae ote ov vice vie se ve ee ee ee J. M. CLARK 

oS RGYP ag ANS Rug es ae SNe J. A. BOONE 


EXTENSION DEPARTMENT OF THE NORTH CAROLINA SANATORIUM 
FOR THE TREATMENT OF TUBERCULOSIS 


BUREAU OF TUBERCULOSIS, STATE BoArD OF HEALTH 


Be OP ESTIV CALL S ooo hon oie one nc sane of 8 Boe 0 08 Re see fen Arg L. B. McBrayer, M.D. 
Mes taihiec@nier Ol, BUTGAUA..8 «cs. 2. ss Se ae at eta dake ate cheney ee P. P. MoCarn, M.D. 
ME COMB CCT OLA TING Sty ii eid ocledni ee vip te nuevo wie Site neat ee sory te, Mrss R. WITHERS 
Calais me ete RE ett od site aia. a c.¥ th teumle tus, Shorey ale oi 6b R. M. RicE 

BLEND EEA METINEN (ce) See c ate hone 4 vie tie oa tinene oh ee gon te nS Miss B. WITHERS 


Director of Public Health Nursing........-.-.+eeeeeeeee Miss S. H. CABANIS 


4. PERSONNEL 


STATE RED CROSS SEAL COMMISSION 


Mrs. C. C. Hook, Chairman, Charlotte Mr. A. W. McALIstTER, Greensboro 
Mr. HAMILTON C. JONES, Treasurer, Mrs. C. Martin, Wilmington 
Charlotte Mrs. W. N. Hurt, Raleigh 
Dr. OTHO Ross, Charlotte Mrs. T. D. Jones, Durham 
Mrs. G. M. Fincer, Charlotte Dr. W. L. Dunn, Asheville 
Mrs. CHARLES R. WHITAKER, Henderson- Mrs. S. H. Brown, Oxford 
ville Cou. J. L. LupLow, Winston-Salem 
Mrs. MARK QUINERLY, Greenville Mrs. J. L. WeTMoreE, Arden 


Dr. L. B. McBrAyeEr, Executive Secretary 


Miss R. Wiruers, Assistant Secretary 


LETTER OF TRANSMITTAL 


Dr. W. S. Ranxrn, Secretary, 
State Board of Health, ~ 
Raleigh, N.C. 

My pear Docror:—I hereby transmit to you, and through you to 
the State Board of Health and the Governor and General Assembly, a 
report, being the third annual report of the North Carolina Sanatorium 
for the Treatment of Tuberculosis for the year 1916. 

Very respectfully yours, 
L. B. McBrayer, 
Superintendent. 


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THIRD ANNUAL REPORT 


OF THE 


NORTH CAROLINA SANATORIUM 


FOR THE TREATMENT OF TUBERCULOSIS 


SANATORIUM, N. C. 


We are pleased to report progress along every line of endeavor. 


BUILDING ACTIVITIES 


We have constructed the left wing of our Main Building, which is and is 
to be Receiving Building and Infirmary and Administration Building. This 
left wing was intended to accommodate 48 patients; we are now housing 64 
patients in this building. We have built a power house, installed a 100-horse- 
power boiler, engine, and dynamo. From this power house we heat all the 
buildings on the hill, furnish steam to run the ice plant, steam for cooking, 
and electricity for light and power. We have installed a cold storage and ice 
plant. We have built a coal chute which delivers the coal in front of the 
power-house door; have built a cottage for engineer and a two-room house for 
fireman; a storage warehouse in which to store supplies, close by the rail- 
road, where it is convenient to load and unload freight and express direct into 
the warehouse, whether local or by the car-load. We have painted, screened, 
underpinned, and otherwise repaired all the old buildings on the hill, making 
extensive repairs to dining-room and kitchen. We have also made some tem- 
porary repairs to the old dairy barn and built a shed for machinery. In mat- 
ters of economy, we are running our power plant for about what it costs us 
to pump our water with gasoline and buy our ice, so that we have our electric 
lights and steam heat free. The Southern Express Company has recently 
given us an express office, and we have been notified that our postoffice will 
be advanced to third class January 1, 1917. 


EXTENSION WORK 


In the Extension Department we have in two years examined 6438 cases for 
diagnosis, 411 of these during 1916. We have carried on extensively a corre- 
spondence course with physicians throughout the State with especial regard 
to the early diagnosis of tuberculosis. This has been productive of great good. 
We have endeavored to enforce the law requiring the physicians to report 
their cases of tuberculosis to us and have sent such cases printed instructions 


8 ANNUAL Report, 1916 


in regard to the prevention of the spread of the disease to others, and as to 
the open-air treatment. 

We have bought sputum cups in quarter-million lots and are shipping them 
all over the State to any one wanting them, at actual cost, which is 50 cents 
per 100. We have distributed 60,302 of these during the last year. We have 
sent out 12,093 copies of literature. We have had 3,557 cases reported. Of 
these, 2,545 are alive; the others have died. We have written letters, multi- 
graph and personal, to the amount of 60,744. We have received 14,605 letters; 
we have written articles for the press, bulletin, and other magazines, amount- 
ing to 80,273 words. We have prepared 37 forms, placards, etc., amounting to 
19,241 copies. We have been furnishing capillary tubes of tuberculin for the 
Von Pirquet diagnostic test to physicians and have sent out 1,625 to these, the 
only charge being that they should report the result of the test. We have 
delivered during the last year 35 addresses, to a total audience of 3,995. We 
have had 58 conferences with local authorities. We have done 2,350 labora- 
tory examinations in the last year and furnished physicians with histories of 
the first examination of their patients amounting to 133,787 words. We have 
made a complete detailed sickness survey of the Silk Mill village at Wades- 
boro, perhaps more complete than has ever been done in the United. States, 
and among other things, advised the employment of a public health nurse, 
which has been done, and the erection and maintenance of a sanatorium, 
which is now under consideration. é 

Public Health Nursing.—After a conference with the Secretary of the State 
Board of Health, and at his suggestion, we took the matter of Public Health 
Nursing under the Bureau of Tuberculosis. We had all the public health 
nurses in the State, about 41 in number, as our guests at the Sanatorium for 
two days, and the meeting did much to further the cause of public health 
nursing. We have secured a Director of Public Health Nursing for North 
Carolina, Miss S. H. Cabanis, who devotes all her time to this particular 
thing. We were fortunate to secure the cooperation of the Metropolitan Life 
Insurance Company, which is paying one-half of the salary and traveling ex- 
penses of the Director. This company is also cooperating in local nursing 
activities and has given to us five scholarships in public health nursing in 
the University of Cincinnati. 

Red Cross Seals.—We have conducted the Red Cross Seal Campaign for two 
years and are actively engaged in the third campaign at this time. The re- 
ceipts last year amounted to $8,033.86. We confidently expect the receipts this 
year to go over $10,000. Seventy-five per cent of the receipts will be used by 
the local committees in their own locality, 10 per cent will be sent to the 
National Association for the Study and Prevention of Tuberculosis, which 
furnishes the seals and advertising matter, and 15 per cent will go to the 
State Red Cross Seal Commission. All of it will be used in the fight against 
tuberculosis in North Carolina. 

In connection with the Red Cross Seal Campaign we have each year con- 
ducted a campaign for the observance of Tuberculosis Sunday and Tubercu- 
losis Week, sending letters requesting every minister in the State to speak 
on the subject of tuberculosis and disease prevention on Tuberculosis Sunday, 
enclosing appropriate literature to use in his remarks. 


Tuer Nortu Carorina SANATORIUM 9 


DONATIONS 


We have received the following donations from friends: 
Donor and Donation 


Concord Anti-Tuberculosis Society, Concord, bookcases. 
Ida Hawkins Missionary Society, Wilmington, 75 Bibles. 
Mrs. Ella H. Williams, Poplar Branch, N. C., 1 Bible. 
Miss Kate M. Herring, Raleigh, N. C., vases. 
Mrs. John C. Scarborough, Winton, N. C., $2 for Bibles. 
Maxton Presbyterian Sunday School Class, Maxton, N. C., 19 Bibles. 
Miss Anna L. Twelvetrees, Charlotte, N. C., 100 song books. 
Mrs. Jennie G. Yates, Louisburg, N. C., books and literature. 
Miss H. Brown, Charlotte, N. 'C., 2 Bibles. 
Mr. A. W. McLean, Lumberton, N. C., magazines. 
Mrs. D. H: Ray, Fayetteville, N. C., books. 
M. P. Philathea Class, Asheboro, N. C., literature. 
Miss Cordelia W. Phifer, Charlotte, N. C., 4 Testaments. 
Southern Pines Civic Club, Southern Pines, $50 check (from sale of Red 
Cross seals). 
Miss Bess Stewart, Carthage, N. C., 7 books. 
Miss Grace McKinnin, Bennettsville, S. C., $5 quarterly (for Sunday School 
literature). 
Mrs. Walter H. Neal, Laurinburg, N. C., 7 books. 
Thompson Baraca Class, Greensboro, N. C., box of books. 
Kings Daughters, Rockingham, N. C., box of magazines. 
Mrs. Mary D. Brush, New York City, box of magazines and books. 
News Printery, Lenoir, N. C., box of magazines. 
Rev. Mr. Gude, Wagram, N. C., books. 
Mr. and Mrs. Yates, Aberdeen, N: C., books. 
Aberdeen Baptist Church, Aberdeen, N. C., books. 
Hon. A. W. McLean, Lumberton, N. C., 2 books. 
Miss Maude Upchurch, Raeford, N. C., 2 Victrola records. 
Mrs. W. S. Rankin, Raleigh, N. C., 1 Victrola record. 
Miss Elizabeth Connolly, Denver, Col., 2 Victrola records. 
Mrs. and Mr. Edward Gibson, Laurinburg, N. C., Victrola records. 
Miss Ruth Withers, Sanatorium, N. C., 2 Victrola records. 
Bluff Presbyterian Sunday School, 1 Bible. 
Miss Ruth Andrews, subscription to Country Gentleman. 
Miss Lillie A. Way, Belhaven, N. C., 1 book. 
Hon. A. W. McLean, Lumberton, N. C., 1 bundle magazines. 
Rev. F. W. Bradley, Gastonia, N. C., 1 bundle magazines. 
Mrs. Jennie Tucker, Wingate, N. C., 1 book. ° 
Miss Lydia Holman, Altapas, N. C., 1 box books. 
Century Company, through Miss Jones, Aberdeen, N. C., 10 books. 
Mrs. Mary Latham, Plymouth, N. C., 1 box books. 
Dorcas Bell Love Chapter, D. A. R., Waynesville, N. C., 1 box books. 
Page Memorial Library, Aberdeen, N. C., 2 boxes magazines. 
Miss Helen Howland, Charlotte, N. C., 500 flower bulbs. 
Civic Club, Aberdeen, N. C., during summer, flowers each week. 
Clemmons Civic and Benevolent League, furnished one room, $75. 





10 AnnvuaL Report, 1916 


PATIENTS SUPPORTED BY CLUBS, LODGES, CHURCHES, AND OTHER 
ORGANIZATIONS 


The following is a rough estimate of number of patients whose expenses 
here have been paid by others than themselves and amount. It is not nearly 
correct, for the reason that the money is often sent direct to the patients, in 
which case we have no way of knowing anything about it: 

Number Amount 


Name of Club or Organization Patients Paid 

Woman's Club,“ Raleigh”. ee ee eee 6 $ 452.00 
Woman’s Club, Greensboro™: 22) 22 2). sey eee eee ere if 137.00 
Pasquotank ‘County <7). 2002 soets cele ce ee eee 1 234.00 
Charity Organization, Goldsboro™.: ee aie eee eee 2 285.00 
Presbyterian Church, Winston-salemiy er reer nn 1 85.00 
Civic League and First Baptist Church, Wadesboro........... ul 152.00 
Cabarrus .COUDtY o.05. ccm wie ay ore ere ee 1 61.00 
St. Pauls Presbyterian ‘Church, *. oe eee eee 1 120.00 
Carteret County .. oc. 0. 20. a. oe re tee 1 133.00 
Associated “Charities, Charlotte <0) 2. ccs same reteeer eee eter 1 60.00 
Junior Order; Burlington”. ... 1.22 oe eee 1 51.00 
Baptist Sunday School, Raleigh. 32-3 2. ase eee eee 1 60.00 
Forsyth County (2... cece s eite eee ct ce ee alee ee 2 150.00 
Jefferson Standard Life Insurance Company ..)....+...+..-.- 2 181.00 
Buncombe County 2... eae oe oe ene 2 257.34 

Total... cca ce dies betes seu Bette Sethe a rene 24 $2,418.34 


INCIPIENT C'ASES 


By referring to our medical report you will note that every incipient case 
that we have treated is alive and at work, and our records show that their 
earning capacity is as great as it ever was. We make it a rule every year, 
during the month of November, to write a letter to every patient that we 
have treated, and in this way we have obtained the above encouraging infor- 
mation. When contrasted with the results obtained in the far advanced cases, 
it impresses us with the importance of early diagnosis and early treatment 
in tuberculosis. We are pleased to note that we have admitted as many in- 
cipient cases in one month during 1916 as we did during the whole of the 
year 1915, which is very encouraging, and which we attribute largely to our 
extension work. 


DEMAND FOR ADMITTANCE 


The demands for admittance. continue to be very insistent. And it is sin- 
cerely hoped that provision will be made for the completion of our Main 
Building and other physical equipment which will increase our capacity to 
200, and by changing them every four months, which is about the average 
stay, will enable us to care for 600 patients per year. There are many activi- 
ties that cannot be put into a report, but we trust that this will serve to give 
general insight into our work. 


MEDICAL REPORT 


DEFINITIONS OF TERMS EMPLOYED 


On ADMISSION 


These definitions indicate the furthest extent of disease and the greatest 
severity of symptoms that a patient can present and still belong to the stage 
defined. All patients beyond the incipient stage fall under the moderately 
advanced stage unless the physical signs and symptoms exceed those of the 
moderately advanced stage, when they should be classified as far advanced. 


Incipient. 

Slight or no constitutional symptoms (including, particularly, gastric 
or intestinal disturbance or rapid loss of weight). Slight or no eleva- 
tion of temperature or acceleration of pulse at any time during the 
twenty-four hours, 

Eixpectoration usually small in amount or absent. Tubercle bacilli 
may be present or absent. 

Slight infiltration limited to the apex of one or both lungs or a small 
part of one lobe. 

No tuberculous complications. 


Moderately Advanced. 
No marked impairment of function, either local or constitutional. 
Localized consolidation moderate in extent with little or no evidence 
of cavity formation; or infiltration more extensive than under incip- 
ient. No serious complications. 


Far Advanced. 
Marked impairment of function, local and constitutional. 
Marked consolidation of an entire lobe. 
Or disseminated areas of beginning cavity formation. 
_ Or serious complications. 
Miliary Tuberculosis. 


On DISCHARGE 
Arrested. 


All constitutional symptoms and expectoration with bacilli absent for 
a period of six months; the physical signs to be those of a healed lesion. 


Apparently Arrested. 
All constitutional symptoms and expectoration with bacilli absent for 
a period of three months; the physical signs to be those of a healed 
lesion, 


Quiescent. 
Absence of ail constitutional symptoms, expectoration and bacilli may 
or may not be present; physical signs stationary or retrogressive. The 
foregoing conditions to have existed for at least two months. 


12 AnnvuaL Report, 1916 
Improved. : 
Constitutional symptoms lessened or entirely absent; physical signs 
improved or unchanged; cough and expectoration with bacilli usually 
present. 


Unim proved. 
All essential symptoms and signs unabated or increased. 


ULTIMATE RESULTS 
Arrested. 
General health and working capacity retained for six months and 
over. No active symptoms. Bacilli may be present. 
Improved. 
All cases not in above classification, but with inactive disease. 


TERMS USED IN DEFINITION OF “‘INCIPIENT’’ 


1. Slight Constitutional Disturbance. ; 
Slight loss of appetite, of strength, of weight; lassitude; possibly 
slight acceleration of pulse or possibly slight elevation of temperature. 
The impairment of health may be so slight that the patient does not 
look or feel sick in the ordinary sense of the word. 


2.. Slight Elevation of Temperature. 
Maximum temperature after rest for one hour, never goes 99.5 to 100 
degrees F. by mouth (or 100.5 per rectum). 


3. Slight Acceleration of Pulse. ; 
Maximum pulse rate not over 90 after rest for one hour, sitting or 
lying, except when due to causes other than tuberculosis. 


4. Absence of Tubercle Bacilli. 

Each monthly examination (if the sputum be negative), to consist of 
a careful microscopic examination, with a mechanical stage, of two 
smears, devoting at least three minutes to each smear, made from 
selected particles (at least six from different parts) of the sputum on 
each of three successive days. The morning sputum should always be 
obtained, or, better, the minute bits that some arrested patients raise 
at very infrequent intervals. It is not yet deemed wise to insist on 
digestion and centrifugalization, or on inoculation of guinea-pigs. 


5. Infiltration. 

Physical signs of slight prominence of the clavicle, lessened move- 
ment of chest, narrowing of apical resonance with lessened movement 
of base of lung, slight or no change in resonance, distant or loud and 
harsh breathing, with or without some change in the rhythm (i. e., 
prolonged expiration); vocal resonance possibly slightly increased; or 
fine or moderately coarse rales present or absent. If sputum contains 
tubercle bacilli, any one of these. 


Tue Nortu Carortina SANATORIUM 13 


6. Apex. 
That portion of the lung situated above the clavicle and the third 
vertebral spine. 


7. Small Part of One Lobe. 
An area of one or two intercostal spaces, or an area not exceeding 
60 to 80 sq. cm. in extent, according to the size of the patient. 


TERMS USED IN DEFINITION OF “MODERATELY ADVANCED” 


8. Marked Impairment of Function, Hither Local or Constitutional. 
Local: Marked dyspnea on exertion, limiting seriously the patient’s 
activity. 
Constitutional: Marked weakness, anorexia, tachycardia. 


9. Moderate Extent of Localized Consolidation. 

An area of one-half lobe or less, but may involve both apices; marked 
dullness, bronchial or decidedly broncho-vesicular breathing; markedly 
increased vocal resonance; rales usually present. These signs are to 
be sharply limited as to area instead of gradually shading into normal 
physical signs. 


10. Evidences of Destruction of Tissue. 

Presence of tubercle bacilli or elastic fibers in the sputum or the 
presence of the physical signs of a cavity. There are no absolutely 
certain physical signs of cavity, but a combination of any four of the 
following signs is to be taken as indicative of a cavity: (1) cracked-pot 
note; (2) amphoric breathing; (3) intense whispering pectoriloquy; 
(4) a veiled puff or post-tussive suction; (5) bubbling or resonant 
rales. “Physical signs of softening’ do not admit of any definition 
apart from that of cavity formation, and the terms should not be used. 


11. Disseminated Fibroid Deposits. 

More or less localized areas of fibrous tissue, producing on physical 
examination, some change or dullness in the percussion note, more or 
less increase of vocal resonance, harsh, suppressed or broncho-vesicular 
breathing, rales sibilant or sonorous usually, but at times fine and 
moderately coarse. 


12. Serious Complications. 

These should be limited to tuberculous complications, such as menin- 
gitis, pharyngitis, laryngitis (except slight thickening in the posterior 
interarytenoid space, and superficial ulceration of a vocal chord), 
enteritis, peritonitis, nephritis, cystitis, orchitis, adenitis (unless very 
slight), ete. 


14 


AnnvuatL Report, 1916 























STATISTICAL 
Number patients to‘ be:reported: Ors sae eye ee ee ee a 267 
Number not tuberculous coca ge eo ee a ere rere ae ee 6 
Number. not: classifiédt2 e222 22 2 9 2 Se eo a eee eee re 1 
Number patients in sanatornum Decemberr 15:19 1 Gm ae see ann eee eee hil AAS Cia he 120 
Total/number patients: trea ced cur img) yee ree eee eae ne 394 
TABLE No. 1—33 PATIENTS WHO STAYED LESS THAN 30 DAYS. 
Condition on Discharge 
Condition on 
Admission 
Arrested pane Quiescent Improved | Unimproved' Died 
| 
Incipient_____- it | een ey EES ek LIP, bee Res ee ee ee Ree ee. 
Moderately 
advanced 1. ‘Sli 23-. eve cool not h e 7 Le) ei ee 
Har ndvanced | sic.e cee oa lisa he Soe re 2 3 1 
Acute tuber- 
CUlOsiS== sae" || See eee eerees Seamer eee: Se See oe 1 (SS lee a a 
Totals-. 233 \sos2 55. Aa ee oe ee eee 27 5 1 























Average Stay, 16.96 Days. 


Longest stay, 29 Days. 


Shortest Stay, 4 Days. 


















































Number Gained Weight, 16. Number Lost Weight, 7. 
DANE A OG gO ATi oe tte eg Ne et ee 4239): ibs. sAerame | ogcasa= = aera ee ea eee 2.89 Lbs. 
Wangest ean scene ae eee ee ee 11 Libs; anwest loss se. = ee eee ene meee 8 Lbs. 
Sinmallestrcainas = =e eee nee, eee i SW Blos Sina West loss. ie see cee ee eo eee 1 Lb. 
SuabiOmany: tae, eee Eee et a eee 4.1 (N@biwergihe digs .:Saiot> (Se .3 ino ee ae o 
TABLE No. 2—77 PATIENTS WHO STAYED FROM 30 TO 89 DAYS. 
Condition on Discharge 
Condition on 
Admission ; 
Arrested eet Quiescent Improved | Unimproved Died 

Tnicipienti=ane 7H eee cr eee eee sree hee Be 9 14 Loe ay pty aetede SF 5. ages 
Moderately 

EWomiesharre ole eWANin se ee iW ee oe Te 12 21 Sy ey SSR mre. wt pane 
dmeheateKohneleyol Mls Smee as en 2 9 5 1 
Acute tuber- | 

culosis....._- Ol sot -cueewsede| Sak bees ee hs - ee ares Sd Se ae a 1 na |e dae 

Bayern I Macrae a a ace eM 8 Se Fe cl ar 23 44 9 1 
Average Stay, 55.77 Days. Longest Stay, 89 Days. Shortest Stay, 30 Days. 
Number Gained Weight, 64. Number Lost Weight, 11. 

IA VeTa Pere ain ss ee See ce a eeere mes 8-67" Lbs! Average: loss ase eee eee 4.45 Lbs. 
Garcest pain: seen eee eee ee 26.5 “Lbs. "|. Largest: losses... 6 1Qe5e obs: 
pain et LS ea ca 2b) Lbs i. Simal lest. Oss nee. ene er a We 
SCAtLOM AT Ve ee oe ee ee aaa 2. | Notiweigheds. 2s... a: 5 aaa 0 





a eee Oe ee ee a re 


Tue Nortu Caroittna SANATORIUM 15 


TABLE No. 3—157 PATIENTS WHO STAYED 90 DAYS OR MORE. 


















































Condition on Discharge 
Condition on 
Admission Aon Pentt 
Arrested eet an Quiescent Improved | Unimproved Died 
Incipient_____- 36 9 26 Uy tree eres | Mee ee eee ss ee ee 
Moderately 
advanced ___85 21 22 29 8 4 1 
Far advanced 36 ie. 1 11 9 11 3 
Acute tuber- | 
Culosis=.-2--— OU cemrnaces ncn ale eel a Ay i i Ta ll a oy ee Pn |e a ee | ESE eee 
Totals _157 31 49 41 ih 15 4 
Average Stay, 173 .48 Days. Longest Stay, 913 Days.* Shortest Stay, 90 Days. 
. Number Gained Weight, 127. Number Lost Weight, 26. 
ACUSIES Ge ee ee 1055 AUB) 9, Sl ovels <i] Navies, Ie esja to see Ee cd 6.61 Lbs. 
Largest gain_____- etree Bae Ai SOM LOS ee AT OES ty LOSS eee ee eee ewe oe ene ene 27 Lbs. 
SME Cael: Se ee 1 Lb. Siaallesti Lossia ss > sa neeee ere mane aire =e 1 Lb. 
SOIR 2 i Aw imNOt WeleheUlasnc = tree anon ameter, 0 








*Worked to pay expenses. 


TABLE No. 4—HISTORY OF HEMORRHAGE. 


NIGEOST BR eu aes we ae er ee oe 182 
(Previous OT yee Neate eee Sie 53 

Positive Previous and during residence_-__-_- 26 
During residence only____-____- ee ted ag aki 

AROS HN ed ge a oh Pe eg ee eee 267 





INGA eiNe COME OOS) OUTRO NGN en ee Ue ee 110 
O@NSAG MISS ON ee ee ee eee eee ae 110 
Positive IDtirimesresidences=s sas te ee ae 134 
Onechischarc emer ss sant mete eee 117 





TABLE No. 6—13 PATIENTS WHO TOOK THE TUBERCULIN TEST. 


INGo ALLY Ome ata eee ae ee Me ee eg eee 6 
Positive 


16 





ANNUAL Report, 1916° 


TABLE No. 7—COMPLICATIONS. 




































































Adenitis. 2.23.22 ee ee ee eee 27" Lavertabscess lees. as oe Seeeen es eres ee ee 1 
Anal fistulae oo ok See ee ees eee ee (iam ie CUR Ai ots +10 Mines Saeed oA Limes BY mab Ba cae. te gence! “Al Be 1 
Asthmad *22S7 28sec ee a ree 2>/\ Laanee DSCGSSh ae ae See eee re eee ea Pe ee 1 
Bronchitise: ie Aco ee eee eee ee 19\)) -Mitratinsiwittcien cya. =o. ses meer eee 2 
Broncho-pneumonias 2.-tes Bide Pieler oe 1 |  Otxtie teddies e ee ee en eee 1 
Carcinoma cy 222 Se ae ee ee Ty Ore Giese seteette a ee eee en oe ee rears 2 
Diabetes. aie oe es ke ee ee ee 3) -Paraplesiaaess ses ie ee Re ee Rd thE AD Re Carly ache Vom il 
Nanay onigsvachs mau eee ie nk MON EN ENN, OG Reel TL Sigs = 2. Pease ub ec ee Relea Wee ee 0h ne ae 1 
Hi GER tis 2. eae See eas GaN oie Speen cede ne 3 | ‘Plearisy with-elfusions.s-2. 2.2 2 Jee 6 
HBemorail hernias. 223 re ee 1.=| Potts diseases 222 Sse ee 2 ees 1 
Herpes‘zosterssssc-U Se oe Sei ee oe eee 2'*|,, Preonancy 6... 35 eee Be Sh areas 2 
Eau yates tl gee ae Se ee Ce re 21 t) .Seoliosisis+.5.. 2. b=. 6 ee 2 
UWtermne-poly pis ee eee 1 
Age Civil Condition 
Sex = 
10-19 | 20-29 30-39 | 40-49 | 50-59 60-72 Single | Married | Widowed 
| 

Male gre... 5s {eit 61 42 |) 2 5 66 66 1 

TDeraneiee! oe Be 134 22 62 37 8 4 1 66 53 15 

Totals_____- 267| 33 123 79 20 9 3 132 119 | 16 

TABLE No. 8—NATIONALITY. 
Americans) 23% #0 2 EP a ee ee ee 266 
Russians. ~ cote ee eee 1 
TABLE No. 9—OCCUPATIONS 
| 
TNC Atco. <= eeieing Sn JP Sf A eins my 1. | -Blectnician = s2 oes Sue rin tenk..n boo. eee 1 
UMTS bhi oie ek Sao a eee ee ee ages Ae 1) Parmer. = eee 26) Sp BUESC 8a eee 5 
Ba kceranere meres Melee ele omen 2 | Graduatemnurces= same TAR ant rogdscl eric ees ae oe 4 
Banlencas ier. ees eh ene 1 | Hosiery mill operative.__ __- 25) Ratlroad inspectors. 4.22 eo. 1 
Barbers. ose... cee ee 2 | Hotel clerkie.2ay.caeee eee leg Ruyal-maihvearrier2. aac aes 

Blacksrnaith see sean eee 1) Hotel proprietress=. = asemes Gl Sa WiGl Oe oe ee wee eee 1 
Bookkeepers... asso) a= eee. Te\"-Flousewile?:_2. ss) eee OS¥ IE DeAaIMBLIGSsa eee ee eee eee 3 
Box factory operative_-____- _--- 1 | Housework at hone! ase 24 | Silk mill operative... _.2:_2...2 1 
Gabinetina cress sss =e eee a 1 | Jeweler____. Jf) ve. eases igiM@oceam it terse ace seer 1 
Caléswaltert aie se eee 1~| Machinist:2.¢2 23 Se) OUONE CULLCL Es. = kee aes ae eee 1 
Carpenter mea. saath oe ae 4 | Manager planing mill________ IGE Student2.2-6- 5 ee eee 28 
Ghauiteu rats 5 eee cpa 3), Medicalistidentnsses=-saeoaee 1 | Superintendent cotton mill ___ 1 
Cisaremialven sss een eee Zale Merchante25-pee = ae 9 | Superintendent furniture fac._ 1 
Oivaltencineer=: = see toe To Mia Llitierset let 5 ee eee 20 lea cheraens son ane 6 aes epee 17 
Clerkaintstoresia 2 5e20 sane 1 Opel Minister 623: = <s aneeaee eeee Tet Resimis tere ais ae 2 aes Soo eet 2 
Cotton mill operative__.______- 135)-Oticeclerke 2s toes see 1 | Telegraph operator_.__.---____ 2 
Braye Os dre eae Ae ee eee el etnite rae Lat ae eee 1 | Telephone operator__________- 1 
TEGO rao ye een oh ICSE ySiCvan ome 252s aaa eee 1 | Traveling salesman. ._.2__-. _- 6 
Hlectrical engimeer 225-22 as IsePracticalinunsess=asse== aes Toi Wellsdyillerases ee eee oe eee 1 


























Tue Norru Carortna SANATORIUM ive 


TABLE No. 10—TOWNS FROM WHICH 267 PATIENTS CAME. 











PAmis@myvallevce 22 oe De ert DSODVELelL ssa cP hehe LO PIGtS DOT OU en ie arene Seteee? | 
PMijpemlarlesseete a. en 2 Se OM Eee On tee ee eee ee OF Ran lero atte nee eee ee ee ae 1 
LNT IG (ee ee (Pi prlendersones= ss etesee ses. 6 Soa le Cael ahr Caer setae et ae eee ee 1 
PAS ITG Vill Cameo te yt LPI ELOlL sees eee eee an Oe Ie =Pattersonss....- DIE Ree 1 
GE OS a a EA MRO TO ate a ee rk eet kay ip SE OtOW iis eh. Joe 1 1 
PNISCnO CCU meet ae et ee te ElarrellsvillGat eee oe If | ad xed cst on eeatre ae Meee tere TUN Se 1 
INSIRG Selec? [2 ee Soe! liietliope Viliszcee se ma er Gea e 1 a rKenS DUT een ene aes 1 
Burlagtont. eee Woleis is Oem. So 2S i Tho WELSSeeW Cos hah ae ee eR Rl har SP 14 
IB OUN Cw ee ee (ee ams bean Petes = ee we He ECOG Kayan Milo tye er ee ee 5 
Biel AiG tee at ace a eae Tea Han elias Maylene es meine ee iba IHN OEL ans ye ees yee Oe 1 
VOL | urs (aa 2 ea Wer OU ett ee gt neces RU IND ER OUR NENG lone Om ears tetas 
iBelinnanighh See ae ee Pel uMaberton-aew esta. oes Oa ockt Creckewr ethene eS 1 
recrii@iueree ee ees a Sh deg th > UST BN OY succia ee eeeeeiee ae De SEN ihn MIME i ae 1eeotelehaled ayspanie seul Sues Us es ak 
TBARS ol es = a ee Nelgvaskeracs. ghee mere LS (OAS WeGh Ne) ove haved ews. | TS iis 1 
[BETO oe 2a lel Owe (Gia pees es ee ete | I ARoneveltge 1otey ores eo J 1 
IBieiempOrOses 3s el IM ABEHO Raha oee se ee eS See eae BE LEV OCK Vile. 1G e eee re eee re if 
Glen Ouceue eat ek ie TL SR UOUSDULO. ase a.) Se eee rigs wife ve HIGH OT BH gavage es Bge slong + Lolo Uae 6 
(Clase ya ae eee TE ewiAS GON aes ee eee eee 328 REG hare ee eee de ae aceon i SD shy oe 1 
CSiiG\Ge sae Te lent let Ome sa see rne te iBiSes boards ae" alo see pane cee: 1 
CHnnG iil pk le as ee ee (Ee eas Uroce see ein aoe ee LES DENGewest Soee woe eh ae eee 1 
(Cease) Se Ae avllnmo Ona eeeen oe ee lr oe © TASS Opin ee eats Saeeee ne ee ee eee 1 
Gleminmongeenes eh owe ele neal yore seen ee oe Pere DO AAUROT CBee) Aeeeenn ck, cee emcees 1 
(CEmna iets = sian Ee rene le xtie. CON See eee ae Tz iMStaves ville. saeee ee eee 4 
(Caml so) ee ee ibs al Diekern eats Sei Ge | aa eee Lalo tome les aaa Se eee 1 
@oraelinsemeres ose ea elvis vallessout ns ae oe ele ee Shel by 2 see meee ee ee 3 
UL Si oil Set eee ee (hit IN West Si8 & BU EE Sasa hci ea ee Zao allo tices eee eames fee ik 
CaAgcalintterers freee POMC AT TOT artes eel a ec eens ee 2ST Vos ae ae ye nee Ly 1 
@oticl dees eee esac iaieaMOUTteATT Vee cs = eet ee ADRS GET) ype See ere ewe oa) 1 
Ge irenem es tsioual rs Pe eMiaxtho nets 2 ee te ee 2 ie ul eleuesbanernuleV eM, Ase ee ee Se 2 
@ampernterae casas seer ese ieMeViotmtGuileadss = woes eee 2a PASO UCI OL Geese eee saab ae 2 
iSite, eS ee Pe Da NC ACO liceeen. meee ee eee IIIs cpael Bs hib Ue Sgt cos UY he Ree 8 2 
LUNIA, A ds ge one Se Belin masse cuss eee. he. ieee we Ibi SSrovone telraxe VIN We) os pe ee 1 
De earner ee ile Merrys© aks eae eee one DOO STI tN CL Gece e+e SDE peewee 1 
IDEA Die eee ee a ee Thal AG ohne e Woniliyas an er ey (hiriSoutheMallstA S22. eho el. fae 1 
TD) Gill @ yee cae see ee ME Te Teall Wie iroYe te tnikeseean es Oe ae lee (le HONS ureye ha eWay te, eS Bette eee te or 1 
Elia @ ib Verse ee ee nee ee OrOss-— ee ate meee tok MNS Te IFAT pk foe el So el Sore A oe 9 a, a 1 
ilone@oller Coa es kas ee! se iimViaoresvi llc —ss. oan ne ee fe eS ey Xe 9 Le Wee ee eee 1 
Dizabet or Oltve. 2408-22. ep NVitirineespOrOsses seamen | cal Ad Reade ee eis Seater Ns, Ga a 1 
TGS id BYes aKa Lae pean eee a a 1M LEOnse en eee ne, totes ile Ye AWalnaotn aca fog We tL SAS ele oo 4 
Tayetteyille:.--2..2. 52 tr ey”? Wl VicAGdISO Nite eee or may ae IP AV Vii SOI oe ee Se ee aire 1 
PANTO Wee te See ye tn eS LENT ONIOC oaee a ey eae es LW AICHE ah oWen Koy ole es oat SUL ey te 3 
SSCS eI oe ans eee a a tai MoreheadsCitys o> 2 Iaees Lire Wyle orico tase. arere Scena phere 4 
PP OUMCe | een see en ee 2 IBM cDonaldize ses. 20. sees LEE Wilt ta ers ie ae eae ene eee 1 
Forest City----.--- Oia 5 epoca eS Tec Renova ee Lely ee Se ae Pe ieWendelleact a < e sie S 1 
amy illeeasmet ss eee ae ieeiNortine Wilkespononse=: == sass IeieVWimston- oem sess eee eee 4 
TEST b CG eee Tie ee Seine teers ee aieNeweBerns os eeee ee eee eee Das Wie ait Cink ee ee cee eee eee 1 
GreensbOLnOwe ne teen eek Se OMGINOrw.O0Csee eae een ae een eee (eeWilleam|!st onus sess eee 1 
oldsiOresi.oot02o2- 25-26-2455. OMEN AtigG! wk Se ee, Nao he ee Li Wadeshoroun .oe= eas 2 
(Channa 2052 > See eee eee Deni) SLOT C saa seer, ee eo es a De ls Wii Claeys se ee ee aes 1 
(Guutiaay IN Yer clee ia ee eee Tear ketone: kk) Meee eae 2 











18 


AnNuAL Report, 1916 


TABLE No. 11—COUNTIES FROM WHICH THE 267 PATIENTS CAME. 





PATS @ 1 are eee 4 
Alamance..22.--25-<< 11 
Berl Cs ere eee a 
Buncombes- es. aee 1 
IBCahOnts sen as ae 5 
Bruns WiC kes eae eee 3 
Cleyvelandsa 2523 
Canrdenaaee so. ae 2 
Ghathanitseses see 3 
Caswelles=sies ae 3 
(Cimmnrmbneccl ee = a 1 
@ariercteeeaee -- = 33 
C@herokeesau-seee=s== 1 
Gravenie =e sees ne 2 
(Calelyalllee so Jee ekae 1 
Cumberland: _---_- 6 





CACa wile eee 1 
Cabarriisses2 === 4 
Sunita ee ee 1 
IDE aOR 2 2 
Diyas eS 1 
HOrsy thea eee 5 
lirasalbelan 2 2 ee eae 2 
Gastone eos teeeee 3 
Guiliondaees: nee 9 
Gianiyi Wes seme ae 2 
Pl aliia xa ee) = ee 
Hertiorda see 2 
Hvcdel ae oes 1 
LOT Me tt see ene ff 
Trecell 22 2=sveo tees 5 
JORMStOn ss sere ess 4 





JONCSs2 225 ae 1 
Roce die Apatite Sc? 1 
inGolnes = eee 1 
MOOrezo een seeees 3 
Mecklenburg________- 5) 
Montgomery-__-__-_:.. 4 
McDowell... o0-- ee 2 
Madison= eee eeeee 2 
Martine = ere eae eee 1 
New Hanover----__-- 4 
Northampton____.-.- 2 
Naish ee. s = eo eeeene™ 1 
Ons owes eee 1 
Pendert2: eae oe 3 
Pitt@ eee ees 2 
Perquimang.s=ssese= if 





Total of 63 counties. 





Pasquotankeawese oe 1 
Rani collip hisses eee 4 
RO Wiis See eee 3 
Robesont <a" eee as 20 
RUGheriOrde =e aaa 2 
Rockingham. see ee 4 
Richmond === eee 3 
iva rel eee eee i 
Unions sewer 2 
VitTiCC! 2 et ee eee 3 
Wakes a= a nee 18 
Wilkestaa 22222 eee il 
Wisi ite Seas Seer 5 
Wilsontes2 2 ee oes 2 
Yeadikin =e oe ees 1 





Highest number from any one county, 20, Robeson. 


TABLE No. 12—OUTSIDE PATIENTS EXAMINED. 





December 22 - 15 

ANS OUCH ee 26 

Heb uiaiiy= =e aaa 29 
[Lota ae see eee 








UY PEW) WE ee, oes NMS at a Bs 22 
(ADT Lae ee Pe ton eee 18 
IVE syste el ee ie ips 44 








JUNG = eee eee 34 
JULY 235. Seen eee 34 
AUgUstes.2 2 eeeemeee 48 





September ss----) sass 61 
October =. == =e ae 38 
INovembeni seen 42 
Fi ie Se cing HE sa ob Ms 411 





Tuer Nortru Carorina SANATORIUM 19 


TABLE No. 13—PRESENT CONDITION (DECEMBER 1, 1916) OF ALL INCIPIENT 
PATIENTS DISCHARGED FROM THE SANATORIUM PREVIOUS 
TO DECEMBER 1, 1915. 






































Without With 
Tuberculin Tuberculin | 
Condition on 
: Total 
Discharge Dis- Dis- Dis- Dis- 
charged, | charged, | charged, | charged, | 
1914 1915 1914 1915 

Living and working___-___-_- 0 4 0 1 5 
Arrested Living and not working_-___- 0 0 0 0 0 
‘5 Dede Ws teres 0 0 0 0 0 
OSes tape Ree Olan ee et” 0 0 0 0 0 
Living and working_-_-____-_- 1 6 1 2 10 
Apparently Living and not working____- 0 0 0 0 0 
Arrested Wea ate ee a eee oe 0 0 0 0 | 0 
10 Ct, ee ee 0 0 0 "4 0 

aw eee ee ma 
Living and working________- 4 7 0 0 | 11 
Quiescent Living and not working__-__- 0 0 0 0 0 
11 HO) Osiiciee os eer et ett fe 0 0 0 0 0 
iby OVSRiS Soe aa a, 0 0 0 0 0 
Living and working___-_ - - 2 8 0 0 10 
Improved Living and not working____- , 0 0 0 0 0 
11 TD) cee are Masa a = Be 0 0 0 0 | 0 
‘boxe ee ere Ne, = Sa eee 1 0 0 0 | 1 
Living and working_----__-- 0 0 0 0 0 
Unimproved Living and not working_-_-_- 0 0 0 0 0 
0 CAC cae eee te ce ee ete 0 0 0 0 0 
EOS tery eee ee FS. eo Sy 0 0 0 0 0 
Living and working.__-.___- i Le oe at 36 
Total Living and not working_-_\_- ns Lbs u3 ae 0 
37 Dend see Steak wa ere A as ae bd a 0 
IOS teases seins os See Lies}. Ee ae ae ae 1 

















20 


AnnuaL Report, 1916 


TABLE No. 14—PRESENT CONDITION (DECEMBER 1, 1916) OF ALL MODERATELY 


ADVANCED PATIENTS DISCHARGED FROM THE SANATORIUM 


PREVIOUS TO DECEMBER 1, 1915. 





Condition on 





Discharge 
Living and working_._..___- 
Arrested Living and not working__-__- 
6 Dedd2t 2a 2 eee 
 Losthis tte 8 Js eo See 
Living and working_-_-_-____- 
Apparently Living and not working. -___- 
Arrested Deadsieee 5am Sa eae & 
13 Tro steeaie tee ee Pee ee ee 
| Living and working------.-- 
Quiescent | Living and not working -__- 
42 Dead se. ee eas As 
LiOStt ous ORS 3) ees ete ae 
Living and working_-_-_-- Aen 
Improved | Living and not working -__: 
(e Dead. BeBe pee. 2.0 eee 
IOS beter ee, ee ee ee eee 
Living and working.__.-___- 
Unimproved Living and not working__--_- 
4 Dead ek Saree Ses 2 are 
THOS 02 eee ot wer ire Set eee eee 
Living and working___.____- 
Total Living and not working__-___ 
137 Dead: te vem ran et eres 









































Without With 
Tuberculin Tuberculin 
Total 
Dis- Dis- ‘Dis- Dis- 
charged, | charged, | charged, | charged, 
1914 1915 1914 1915 

0 Bs, 0 Z 4 
0 1 1 0 2 
0 0 0 0 0 
0 0 0 0 0 
6 3 2 0 11 
1 1 0 0 2 
0 0 0 0 0 
0 0 0 0 0 
a 14 1 4 26 
2 3 1 1 7 
6 2 1 0 9 
0 0 0 0 0 

19 11 0 0 30 
5 11 0 0 16 

20 4 0 1 25 
1 0 0 0 1 
0 0 0 0 0 
0 0 0 0 0 
D 2 _0 | 0 4 
0 0 0 0 0 

oe tt ee te 71 

a: = ae a 27 

— os Fie rae 38 

eS ia Leet a 1 











Tue Norra Carortina SANATORIUM at 


TABLE No. 15—PRESENT CONDITION (DECEMBER 1, 1916) OF ALL FAR ADVANCED 
PATIENTS DISCHARGED FROM THE SANATORIUM PREVIOUS 
TO DECEMBER 14, 1915. 
































Without With 
Tuberculin _ Tuberculin 
Condition on Total 
= Taree Dis- Dis- Dis- Dis- 
charged, | charged, | charged, | charged, 
1914 1915 1914 1915 
Living and working___-.___- 0 0 0 0 0 
Arrested Living and not working ---- 0 0 0 0 0 
0 VB Yeyii(@ Lo oper alg SN beta 0 0 0 0 0 
EO git mee tere em ae eee | 0 0 0 0 0 
Living and working_________ 0 0 0 0 0 
Apparently Living and not working_____ 0 1 0 0 1 
Arrested Wenn seueernti oe oes 1 0 0 0 1 
y ORs oes eee br OES) 0 0 0 0 0 
Living and working______-_- 0 4 0 1 5 
Quiescent Living and not working_-_-__- 1 4 0 0 5 
12) Sey Clmes  e Fs Reet) RD 0 2 0 0 2 
LQ Rats 2 93 tape Gl ate ae 0 0 0 0 0 
Living and working_-___-__-_- 0 3 1 0 4 
Improved Living and not working --_-- 2, 5 1 1 9 
54 Den Clee See ee et ee 24 16 0 1 41 
ORE eee ee ee oe 0 0 0 0 0 
Living and working_-__-_____ 0 0 0 
Unimproved Living and not working ___- 0 1 0 0 1 
48 1 DYE: (0 tee ope tt ge eee ee 31 14 1 1 47 
OS CU a aan cee ce Per OLE ot Be 0 0 0 0 0 
Living and working_-__-____- ae a ca ad 9 
Total Living and not working ___- Ee an As us 16 
116 VO YEG 6 as oe ey ge Bk ees SN Pt at s 28 91 
lost ls Sees oe ele ao a ae a a 0 























FINANCIAL STATEMENT 
DECEMBER 1, 1916 


ASSETS 


FIXED PROPERTIES 


Appropriation account ....... 22. eee ee aa AN $ 65,000.23 
Real estate . (farms): cocoa % aks Se aap ce a 11,283.36 
Realestate and Hospital buildings 2.5 3.5 0 sce eee 106,808.85 
PUMP “SEAEION se a i Seas whe Ree a eee 1,108.21 
Barns and. SilOS <= 2 hhc cn TS eee ee 2,202.01. 
Acetylene light plant: 234. occ cs os tee oes eee ee 645.17 
Power and. electric. light plantz< . <3. scs eee een nen ee ee 3,569.12 
Telephone system <a... 05 oe es eo etn hs eee ne 1,075.34 
Ice plant. .)..cc2.20s0ctcn sects les Oe ra ee Ce 2,239.80 
Inventory: $193,962.79 
Dining hall and kitchen furniture and fixtures........ $3,642.90 
Hospital furniture and) fixtures? .. 2s ee 3,913.27 
Nurses’, Home furniture and fixtures: 9.2... - ose ee 501.45 
Superintendent’s residence furniture and fixtures..... ~ 646.40 
Dairy hxtures* 37s ee ee 326.73 
Farm machinery and todls7i.] ..... 3: eee eee 474.15 
Farm live stock .<ciccsss.. 0a 6 eon ee eee 1,710.00 
Dairy: TivestOck we nse digi cone bust oho es ns re 2,890.00 
Linen and beddinee. sa. 8 25 Oe ee eee 2,566.60 
Hospital Supplies Maer oem, oe eect BRIO a Seer, 1,866.61 
AULOMODIlO i. face sete SE, ace 2 ae a 250.00 
Harm. expense .(ieeds, .6tc.).... 2.5 <5. aun eee ee 484.06 
Dairy expense. (feeds, ete.) . 2 02 ee eee eee ee 2,489.60 
PrOVISIONS~ 22) s.e2% eda )FORe be a ee 648.58 
O76): 8 Irae Snare ery an re By bein 85.00 
Books—Training School .. 232.7%) fee eee 85.30 
Hospital’ Gray. 08268044 Af oe oe se oe ee ee 35.00 
TORS ora oe Saree ee eee errr ne eh a 1,783.50 
Power, heat, light, refrigeration, and water.........:. 1,579.98 
LAIDPALY sh ne. ha Slee ams aoe arn ben ee 125.00 
Office, supplies ..CDUSINGSS )/ Bcc sanctus eee ee 98.35 
Office equipment, (buSsINeGSS)) 72. etn ee 430.02 
Office supplies (extension) F012. a ae ee 212.50 
Office equipment (extension)... 0. ae ee 1,643.49 
Laboratory Supplies* isc 2)... 3 crete cee 183.00 
Laboratory, equipment 2. cece. ean st eer eee 486.83 
Stenographers’ Home furniture and fixtures..,....... 145.70 
Stereopticon Outites).. esac 1c ee 118.20 
Cashs-on “hands ie wcdig Sas eae aie oat ee 687.74 
30,109.96 


$224,072.75 


Tuer Nortu Carorina SANATORIUM 23 


® 
LIABILITIES 
BrMOn TAA OleuCCOlUlt cata O56 cata ee te be ee sab wae > 65,000,23 
(8 SIGECIIEY 4 rac Onsiie Cara i Oe a et ea 158,961.13 
Perce fisteOOmpany, OVeETOralt... «i... 6. ce ee een e cee es 15.00 
Bank of Hoke, overdraft......... ee ECA ede MOLL Ye Re 96.39 


—————— $224,072.75 





CASH REPORT FOR YEAR ENDING DECEMBER 1, 1916 


RECEIPTS 
State appropriation, 1915, maintenance, balance ......... $ 20 
bo Loner ti NLOUaleGres he. . e sa aes & 25,000.00 


1916, permanent improvements ..... 30,000.00 
1916, permanent improvements ~ 


IV OROD Mee Peer eee ee he oh NST i Gio 5,000.00 
1916, permanent improvements 

OW CUCR LL Re et ge Srcean oe 5. bss We ais 15.00 
LU AOL CTGLOT a tar tale cc kat og ix ork caine. 10,000.00 


$ 70,015.23 
Patients—Maintenance Fund: 


Cash in Bank of Hoke December 1, 1915............. $ 1,579.42 
Piedeonenumdniecember 1.19156. ....0...0055 heavens 414.06 

$ 1,993.48 

Receipts, 1916 

Panetta peatdeand treatment .... 1... 02. .e ee ee ce cee ee $38,631.49 
Donated by Dr. McBrayer, Postoffice receipts............. 857.73 
EPS EN ORES, oe, i 907.91 
me DNTISTLCR AMUIUCLCOTAII 9s. cc ccc cee ates cw we eee vanes 29.93 
OSU IDOTEY? oo og ah bon re 326.16 
oh TE oe ace cone a a 80 
Joye TTL OF Nikon: ee ERae ee a 291.74 
ee COMING WALEU Ch oy fe cs cle ds ea ose eee eee ee 25.05 
Re (MRTG CO PEGS 9s ice a wks he ee sels «tele ele, 0 Bates few ees 13.47 
PV OEGS 2g yoo Bhggah vate Rae asa en a 34.87 
Sypeciectric light lines........... +. ee Oe ee he ee 45 24 
HE os sc Comte ieee ey pane ea SP 22,05 
SOP PR SW2 IGIU SY OTe, of kB ie a Ie ener ah ee 1P33 
MIP SCI DUOKS 6 ccs oe 35 enn le w Gr dhe genie be oe aN dws 2.00 
LF LSS RING once 5 i Soa vg a a ita Ae ar ree aa 204.57 
Donation (Clemmons Civic and Betterment League)...... 75.00 
ee Tee es oat A aces 6 alts, dst eevee oo ba8uiee pe 1.00 
eat OT SCY ee Bee ects Riis gcse kweli xine md edt do Es. Seach 23.82 
iH Whe CESS IYSTIVELSS aia ig aa ae mPa a ne a a 54.17 
Rerun traveling CXPense ~...... 26. eee eee te ete 26.30 
Me rersu LlestalC OX DOlSe a o.%. nan cb a oo Fekete ene) Save de beac alee R55) 
TEES citadel Su PAAR ay gi ge Dra ace ae CP 2 nes 4.50 
Te - 2), Siig Neder ae aha ae eee entre A Ft 65.00 
Dining hall and kitchen furniture and fixtures........... 96.60 


Dre R RIE SOL VAT! LaPeer. ae a rds eas Sere one eee nae a 10.67 


24 ANNUAL Report, 1916 

CORD cbc cae es Se ee Rg ee ar $ 168.00 

Hes 3. oes Re Be aie cet eee ieee 11.00 

$44,231.43 

Overdraft Bank of Hoke December 1, 1916............... 96.39 

$44,327.82 

Less cash on hand: December .1,-1916 75 3 ere ee ees 687.74 
$ 43,640.08 
DISBURSEMENTS $113,655.31 
Year Ending December 1, 1916 
Hospital supplies <4-. .s <\s< sac pctvle-0 setae ee eee eee $ 5,167.68 
Telephone and telegraph. ~ Jt:t.% 0s 22 oe ee 235.97 
Refund patiéptes) foie. Soc Haas bs ois ete aoe 576.96 
| RON CS hn Aa IPEE NEEM 8 Foren ee ds Sate A ea 2,301.16 
SUATIDS 2.0. 00 cured wee petals ore, n.s boem nl her eens 1,194.49 
AUtO EXPENSE? (iii ss seu ease © oe gree ble bre en ne ee 704.24 
FPueblight; and water. «oi. siecle «ee cscs. vc eee em 3,594.06 
Freight/and @Xpress: . 2.2025 ooo ve see ee ee 1,066.70 
Coal- von caets tee Lee re os Se ee a ee eee 3,401.76 
Office supplies .oo....6. 0.260 ey. tow Pee eae a ee 461.96 
PrOVisSiONS: 20) os wi decd ln Pee a a eee 21,757.84 
Hospital supplHes eS. ccskk 6 Se Sika 3 Se ia eee 1,035.56 
Dairy expense 9.00.5. Pees Gel oS a ae te eee 1,624.65 
Farm @XPpense oo tos Fin eic oie of Seiad wlan Sev bie ee ee oa 4,344.99 
Repair heating Sy Sten sic ose ee keie kere josie vm alse omen nee eee re oe ee 1,976.99 
Repairs and: supplies plumbing SyStem., «: -ava secec. oe eee ere - 546.44 
Repairs’ old buildings . 3. 0. a eee 1,059.55 
REPairs DUMP sae. oo cls ec eiee wien acu lot aici aw: ape ee 158.61 
Repairs farmhouse.) 030: cass a... eee 56.20 
TOG 6 fe. Cee a ee ie OM Pde al ae Se 195.74 
Kitchen-supplies yes ca gia ea.+ ela dicParsa Anld one ee e  ee 7.33 
COOKS CLC their a or ars aoe oe peo "yaaa aA ot atta lest ime na et on ace ee 5,266.15 
Nurses andtattendamts oo Shc yal hala ac ieee 2,212.08 
Training School DOOKS cn 65 Ais wo te See 29.12 
Refrigerator SUPDILTES 5 206 alee lesa! ob walle Syl cle eee a 225.02 
Linen and bedding’ 3.5.8.0, Sis ee Se 1,116.40 
Crockery and Silver ny jenice oe oatate «eo aidan we 264.53 
Expense of’ grounds 4.360 222. Oe ee eee 226.33 
TOSS ii. Fie © oleae. da les Sala bate Dallas a letatake: stein Ga tees eth 287.66 
Machinery? and! tools. 500i worl es cane! See rude? aie et ee 38.22 
ALO ayn aE oe Bd RE Sasa ah nia 65.00 
Paint «sce iii Se ae Fo sine ee ee ee 100.83 
Electric’ wires... ye co i oo a an ole Sie 55.47 
SUALIONELY ook sess TRE eG ok ds age eae a Sie ae en ae 24.65 
Kitchen equipment e825 a6 Seah se ee ee 108.68 
Telephone maintenance: (0.6205 isis oe os cei oe ee ee 8.29 
Refrigerator Trepalrd 2 o-005: sce a aks ade cen aoe Cae ee cee 109.86 
Clearing new. round» Sts: 6 os bok cee 6 cadence Cire 65.69 


Salaries 


Traveling expense 
Reservoir, No. 2 
Well, No. 3 


Library 


Tue Nortru CaroLtiIna SANATORIUM 


opel ean as) Canieho7 st wr oe Je) (e's 68) e} (O's ie) (a) 0) oh ot ‘8. 6 se) Cas) 0! a Sw of ay OY 8 Ww et Ot gt Si et el 6 Stelle re ses 
G) cepevve’ cat © 81 /@) le) 0, 6 0) <e 0) (6G. se fe) @ 8) 6. '¢. © 6 0) ee a6 08 6 6 0! © 0 0) Oe 0 6) eel te 6 
oot eho ol ah 6) ef ete) ovat 04:08 oh es oe ef bel 08: Oe: ie Tene (Oe) se e668 ef 6 6 6.006 so ate 
ue Dule Wiel eire! ate d)ce? 6 (8) Js) e)i els) @| 9) 0! (o> eh eld 6) ol oho, 8 6 ee © of 6: ef @ @ ie sl oe 8 6 6 6 8 ee eee 


Si emenemears a O8 ene) (ef 60/0) 6f16) (6) 8 65,6) a) ot 'e%.6".0' @ 0) 0° 0°.) 0° 6.076 of of aie) 6 0? 6) 6 6 a ee % Ce we & ae 6. Ke 6 


petevine and Platting Jand. 2.6... cee ee ee nes soe PAL ye PU Laer EARS, 
Pee esp pi eSr amd: OXPCNS oo. bees ec owe aw cave cls caaneas 


Telephone installation 
Farm live stock 
Farm tools 
Ice plant 
Hospital dray 


Interest 
Charley 


Dairy fixtures 


AAC sf ek ee EE AE EAE CMD EATER OL RICE 
PM Ke dhe a 9 oe 4 ee A 04k PUA he eens 
RMT enn a Sere UE 6a 9 Ory Si De eHow ot ee Oh EL a es 
re SP e ak iene ae ie od al kd wo 0e dd ho bea eden 
dah AE aE gg INE got tne ga 9: ga ae en 
ON Shree Bd te AB ed d's Fare tie v ve Yo we aos KR eae eee 
Sandy 


SC nO) ST .e Ce) 0) 40, (6) & 6 18 81-6 @ © \@ Oe <6: 6.6 «© C6 © we). 0 0 6 © 6 © O10 © © © 0. © 6.0 2 0 8 & 


Wise eGele 6. 0) Se €. 5) OKC! 16,9 @* 6 Le! © 8 6 9,6 ©: 0 6 & S 6) 0% © 66 ub) oe 6) 8 6 6 b 6 10 6 o'S 8 0 16 6 


Pepe ene re ON GM UUTeS Pie A kl. DO cw ws 
Patera and kitchen furniture and fixtures..:..........«...-- 


Plumbing extension 
Heating contract 
New building, miscellaneous 


Or 0) 6/67 a 8) 6) ey Ge (a? 8. 010 <b 0) 6) (0) 0) 8 6% 6. 0 te wt a € e 8 LO © ele on Oe Oe ee 


Sheree: C/O) 6,10 Si'S) OVie @ 6. 6 Te) .0 eo ecm nn ee’ 8 6 6 6 6 ¢ @ © © Gh Ce 6 6 6. 8 oe Oe el 6 Ute 8 


bi Sy eye (Boe 8 © el © 6 Oe 0 te) ats) ore 0 Or 0 8) © 6 Oe |e) 0, 0 'e 6: 8): 0 Ce! 


hemepuildine. main contract... 0.6.6.6 6ccc... Lens eee, OM eR OM 
Ree te LAAT BO PAT oto tw isk, 2). elateiede's 6 bob e's ca cdce ce bewe sede’ 
Be eer ote Stlirniture and fiXtures.. cei c5 rch ec 8. eek ie cba. 


New building, hot-water contract 


See Sto OC. es o- (el,'6. (65 0. 10-6) .6 616) 1» oN) ©. Bis. 5 6) ec) 0. 6, 678 


PreaewOne neat and pOWwer CONUTAct. 2... ce este eee ee ee ewes 
Puglia IIe CONTACTS. oo Fee i oa kn ee cee eee eet ee 


Dairy live stock 


Ike ele (O. @ 6 OKeo 6 6 Co Oo oT MD Cle O 6 6 i 8 oo oe bo “0 et 0) Of @ 16; etcs) 6% 8. 'e 


ee eM ECR, ace vom nie wo ob Mc Ko Be Lh ermal vine ne bowie e wows 


Improvements to negro quarters 
Improvements to Club House 
Power house 


Garage 


RF os OH OF Se GOS) 5) ow, 6 Oe! 4: fe fel be @ 8) 6 fe 6) 6 10 91's *e 


© O Ow Oe) & ler a0 0) @ Se ‘so ef © (ee Vel Gi Oe: © € 016 “6 0 6 50 8 eh ieee @ 


a) (peo) o! SW) et 0) of 6 8 6 @ 6 6 of 8 6 © 6 el of OH GO OM Oe S 0 OH Oe 8 Om Ce Hw Oe ee ee 


ale) et of WiKe) eh ef of (et ef le! fel.e! a) (el af 16) ©) 6 (0! ete) 0? ef 6) 0) Of le io). 6% kek 0) 6 ol 6.) Oo 0 fo or..6. 6 je) 6) io) € 8 (0) 6 00 OF 6 ee 


ememeOveehH 5.010 “INiNe-TOOTM) . 1.6 ee ne ee Po bees pO eee en wi 


Electric 


Paint and painting 
Improvements,*men’s shack 
Improvements, ladies’ shack 


Nurses’ 


Sewer extension 
Improvements Nurses’ Home 
Pump house 
Improvements, Superintendent’s residence 
New kitchen equipment 
Crematory 
Refrigerating plant 


wiring contract 


home furniture and fixtures..... Drees (eg 


© wt oF Om {6 Se Ne vette: eye rw, te te '6) +e, hin Ke ty Helse (0) xe. J6 Se ie <e Gore ip Ye) ve pie 10. 16) fe: "6 Je. 6 fee, 'e6 


Eipemnutendents home.furniture and fixtures sii ho. J 


Concrete reservoir, No. 1 


SW eh ete Sete aie. we 0) 6: 1S Ol 6) Oe of 0 OF 86 “al et 6 8) lee (0-18 6) "o «  exnfe) Te” 0; 16 


MOOT COs KACO UO Waren o hare AD ele tip sg nel dala ola aaa at af BH abel «een eae 
eee eee OOK Gs El all xa aca cet Sy ak dota olin ta Sivie pone he ALT eis 


Extras on depot 
Recliners 


Oey 0) 6: @) oP OL 6 8 (S(O OF on OF ler 0) 0) Ot (Oh ies 9? @! © Of 6:0: (@ 1) 6) (0K <6 8) “0: 6) Or wD @ 0 0 e 6 ew 6 ee 


Gebied “olveléiuleh diet ef ol let ef et tol 0! (6) 20 er (0: :'e oipe ier te ie'ne! \e, 16) fe: Kel 6 tele vena! 0)) o ahs No! (0y-6.19' ee @\erre"e, 6 "ew 0-8 


25 


8,751.04 
1,041.85 
187.14 
26.00 
8.54 
122.70 
186.53 
1,075.34 
1,090.22 
187.14 
34.30 
5.30 
35.83 
475.00 
7.86 
507.18 
367.24 
650.73 
8,585.00 
117.25 
2,137.00 
21.95 
1,778.56 
149.60 
986.97 
729.95 
631.57 
828.12 
291.29 
244.10 
579.09 
2.80 
1,496.92 
1,542.98 
574.23 
265.02 
7.10 
17.65 
495.50 
13.20 
238.68 
19.45 
2,157.12 
36.75 
2,205.50 
94.05 
708.69 
179.65 
162.04 
6.40 
125.75 


26 AnnvuaL Report, 1916 


Garara’ table tops, «sss sco d 0... autvsseponare pcecrey , oom es eeaete ne neh oleate ee nee $ 270.00 
Bxtras on engineer’s and. fireman’s houses i.....2.....)4 5 eee 26.58 
Engineer’s and fireman’s houses and dépot......1-0.-en ee ee 2,250.00 
Improvements, stenographers’ :HOMGE 2. tisgyeeeneee een era 101.90 
Improvements, DUD. Station... te. sie eee eee eee be eee eee 14.19 
Extras on plumbing contract .c. (0. <2... ..51+.<beevas eee pee ee 501 T 
Extras on electric wiring contract... 2...5 ee ee ee 211.05 
Toolshed, Far age) oc. cs5 le. 55,416) ay Se 6 mo opm, epee ee 98.57 
Page*Trust Company, NOC. «2. ca:5 cic <ccscder ae eer ee ene ee 5,000.00 
Office furniture and AXCTULES cas ccc eens rene een areata Bi 846.62 
BOGEGASES 925A oak 4k oda el 0) pinged eae 87.47 
StETeopti Cow’ OUTIL.  ,ce cy ees, Ge wm ue oda seg See eee et rae 118.20 
Medital: DOOKS 0.05. cc055. 37s) oo rpee eo eee dace ea 24.75 
$113,655.31 
STATEMENT OF PERMANENT IMPROVEMENT FUND 
RECEIPTS 
APPTOPPIATION 1.6.6 uw 4 he va oa tao a $30,000.00 
Bills: payable. o8..2 63 cere oles va dm oud sess Sesame 5,000.00 
Transferred from» Maintenance* Fund: 2c. ae eee ee 506.29 
Transferred from-Hxtension Fund: 2, 25st eee eee 3,409.68 
Overdraft .0... leg eens ba ce 5 oe cle © oo) ee Ginter A ee res aera 15.00 
$38,930.97 
DISBURSEMENTS 

Farin’ machinery. and: toolss ...« 3... « o15 Se eee $ 39.40 
Dairy: Fixtures ob oo ccc ccc aie salve Sede ato hs eaters eee ee 7.86 
Hospital furniture and fixtures ...55.200..%.<:.q wee eee ee ee ~ 507.18 
Dining hall and kitchen furniture: and fixtures+..7 eee ee eee eee 367.24 
Plumbing @Xten sion chy. coscacccavs kav ss ced ch aay ce ee 650.73 
Plating CONTACT ic scs ss ve. a, conde ce, «Bes loteess ne 8,585.00 
New building, miscellaneous... . ...5 0h...» waske ele een eee mene renee 117.25 
New building, Main ,Gontract.... <2 2). scan a aceer eee eee 2,137.00 
Main - building, laying -drain..2..... 222% sib = eee 21.95 
New building, furniture and ,fixtures.«. .:,.:.sss ie eee ee 1,778.56 
New building; hot-water contract.....2.04 72.440 eee eee eee 149.60 
Extras on heat and:power contract... ..<. gain en eee eee 986.97 
New building; plumbing contract. xi:..:. <ccn <ieeieas ee 729.95 
Dairy live stock...) cccciece sis oie.4 t00 bores absw shakes ee re 631.57 
Coal chute’and ‘trestlec.4 F464. 30 «bo eee ee ee 828.12 
Improvements,. negro. quarters... .. sce 62.6 6 eee ee 291.29 
Improvements, club. house. .......)%.e5 Aloha lewrn ces nee eee 244.10 
POWE?  HOUWSE) occa bison eames hangin Sai ba Dt ge net ee 579.09 
GARBROo a ciny eke La SO ia pate Spree een Rr ee ee naa, es See 2.80 
Improvements; old: dining-room: +02). 13. Gee Pee eee 1,496.92 
HCCC WiIrin S7CONTPACt cree ee Ut cok hatae eee 1,542.98 
Paintiand painting’ 4.006... 6a ewan see 574.23 
Improvement, men’s\ishack....... <.%4s . <c.:05 sss iose <levcnes ene eee 265.02 
Improvement, ladies’ shack........ ee eT PY AES 8 7.10 


Nurses’ home; furniture sand: fixtures... ....6-..4 eee 17.65 


Tuer Norru Carorina SANATORIUM OF 





(ELA SEP TSR NSLS 7 RA a oo a A Sc ie BES Uk $ 495.50 
MRE) OLD MINE TT NICE S 11 OTs, 8; 01 oh sree ws oie.e. crete bitlareclaletemcs Uae eeeR? oe 13.20 
eT mE 91) SCHR cet ME fae ccids cee ca Sena suck ce sv os 5 pw abin'ip a ond v coh UIA CS, 238.68 
Improvement, Superintendent’s residence..... oe RE, Da7ES Ee 19.45 
Si PRO IUSE CC) 10) PVILIET) Cages coop cs ov sce 6 4000 <0 cd oes 10-5 v ccd Wes ouese we bie Webel, othe 2,157.12 
AR A, MN a aco Sys Sus od 4 vee ela ad Pde Go neti d aeete b Wan S0.09 
as IN TNA) Ce in ete eo ks coc sucvh is Sok hs. pad odg do¥-audoase Warn vnaba cece 2,205.50 
a REE IU Leeann cc Sag Sd 'nve a dhe bthk See ON Kee ed wae ddahs 480.22 
eI EEC TANCE Me ECSU TNS vorrei oc cw ag gle erane tb ve poss pe -S dab rccn ashe bade Gioia 113.66 
Superintendent’s home, furniture and fixtures........ Dice RATA a 3 A 94.05 
a a I eae eh oh clos vi sco; cn. vei th dune raneso osoco>s eave s/Ree\e-e vie vimelte ¢ 708.69 
Na ED oo ar ok oes o's. sin avs. o. 2c. dunes ecelaseiaioiee s con's ace Wa alalare. 76.60 
Improvement of old buildings, miscellaneous...................... 287.12 
Ree nT CECSECHUGT) gc. 5, 2,6 wk ae dae wee sa eee eeceunees 179.65 
IL UT a Fay og ning ees si bles a oe we wn we ewe ea bs 162.04 
eM Ot ie eae bs ee ORM ARGS SUA a eb 6 le 6.40 
Ne Ae ag oc 5 <q ¢. viene « «vy howd EOS Sod ndac ewe dee 125.75 
I RET SE 0 gel ua oe Sain) v cues hiv eo bucks e Hos acces ole ema eosth ala dy. 270.00 
PeaPasvon engineer’s.and firemen’s houses. ..0.. 50. cee ta bee ewe eee 26.58 
Engineer’s and fireman’s houses and depot (contract)............. 2,259.00 
Peron cimeniwor srenoeraphers NOME... cee ee cet e eevee ees 101.90 
Panrovementetoreman's residence (farm)..........00. 08s c eee odes 14.19 
Peme TCA CMINITTIPOSUALION 6. oss kee kek ede ee eect hee ee ce beds 1Si5a 
Cer emrC eT tt CONTLACL. 26/0 a ce be cd oa new wierelee mecca he neee D0L.O8 
Ree em eC ON LEAGU I Si ccc ke hd wee ee eee eee ee ews 211.05 
Pe omoneerenigne: CONTTACE.. Vil ooo ace le ea ee eee cee eens 43.00 
bee a ek enka desea ew asp meuneleh ei: 98.57 
ee anmCrnnCeN re ABOU) jc ac nf x 64 os ee va oe dels eae ve oe ete ow Ss lds. 272.64 
Ree te Onra ny 2( TLOCG) 22 kin. nok. gale De alee oa cle Bee TUG nw ve el lee 5,000.00 

$38,930.97 


STATEMENT OF MAINTENANCE APPROPRIATION 





RECEIPTS 
Appropriation, balance, 1915...... ee te REP EET IS Ne BEE ee Re $ 23 
ane YA UOT ts) ene oes cok cede SPW Ts Riles > Ce ete eet ae! Olan Se oes o SEEM TER 25,000.00 

$25,000.23 

DISBURSEMENTS 

RNR TVG ce eee, ob cto bc aloo ert ome wa were wim & Wi ole ae a ene $ 95.15 
ULUCREYS GBGRG ORIG” «oe ee 2a een Isao en BP Mar ea ro tics eI 2,434.57 
ee eens een eR Ted ay Mee et Sg So SATA SS OO etre 5,436.59 
eter ereer ERT CTICOMIES 4.2 «2 c)s ta doo os tawte eo 6 ale a due io 6 ee as BORE MENG ores wns 2,193.25 
per AME) MOS os avs ee hoe ce Suc es a tS 9, 00d Gone Oho eS airy eT OIE A os ER 5,159.61 
MS STC IIS COMIYN Me IL. nies eiekene Mie ah ome le wie win Rennie oe 44. 0 ore lee, ah aes 1,902.29 
eee es re Sr ag the, /oatcucen es oifisirn od o¥ qh onion m® ot Sf or © opm cher mh adsgh o1-4e wh rah och oh hot eh g 35.83 
MiUcomsUDDMGseAldsGxPCNSOS .ny. «yes sae bet is Wes vee ele wo pore e ¢ ele miaiee ro.0s 
Serr See ae et ee See Gar, ate etebapot bikie “alee ay oeee By ope Roe le eae eines ile (eos 
Pret SUD DES ee ye ke ek Riss eels mEGtaiene ee a we ckls omy pr tnesaate tte res 704.95 
Peel SPRANG Wall fag. o pip bie tien een spit ss o's sie 6 mole Glo. blenny 1,163.04 


Peri UATIOCeXOLESS oo piltvh wlbse Wk 6m a = eta artes sive vp p Ose terre afar wreners 178.53 


28 Annvuat Report, 1916 


Crockery® and silver fic sic Sec oo ee alee he ae ee ete she oe ee $ 21.24 
Repairs and. supplies (pump house). 5 os 226 eevee a eee ee 1.60 
Telephone.and. telegraphs sc... Pee oo eno a ie eee 13.86 
Plhimbing ‘supplieswand repairs)... eee ee eee eee ee 91.03 
Repairs, Old: Duildin 2s cs se ess oe tae ot neta orien eee ane ae 115.19 
Drugs and medicines...-..... Ee soe on RN ane EES AF bot 125279 
LAU ry os Fee eee ee Oe Be a oe 194.97 
ReFTISETATIONL Ko CO eiktw swe estall Sm eam Relin ae ll eae oae eee 142.62 
Coan eee Loe te aia. ace a ee ee nes Fn ys of 366.39 
AUtoO EXPCNSe. 2. oe oe coe Se os 0 SE ene ee Pe 381.25 
StatiONery. ws oe ei sks Sik wis eles Soa Shee ake nn 41.17 
Linen and bedding... ..c:24.3e0eneen eee eee Eee eee eee eee 23.51 
Charley Savy. ocx o's. cee vs wud cose 4 gn eLene ps Geen an ee 475.00 
$24,493.94 

Transferred to, Permanent Improvement... -.e0e eo eee 506.29 
: $25,000.23 

STATEMENT OF MAINTENANCE—PATIENTS FUND 
RECEIPTS 
Bank of Hoke, deposits....... 325s e5 eae ee ee eee $43,543.69 
Overdraft, Bank of Hoke. .....5%..%4 270 5 pee 96.39 
$43,640.08 
DISBURSEMENTS 

Telephone and telegraphs 2) 0.2 Ov ucey ae ee $0 22240 
Refund to: pationts 20 a oo0 we Als ae ee a ee 57697 
Hospital supplies: 29.5.8 0044) wk aS oo wire ae ee 5,167.68 
Daunary oes. iw ae De wel. re en 2,106.19 
UAE Dame ie hog ins. artis ay eek Lee ao a bays agen ao ee pga te citetatis a teats eee 298.58 
AUto @Xpense sg ea bh ae Eee eee ee 322.99 
Fuel, light, and! water 2): 5's. 42 be. ae 2,431.02 
Freight and:express.00 3 nt ee ee eee eee 865.97 
COal: . tec sede deere ered Vy cd Sab et dee ced 2 ee ee ee 3,035.97 
Office supplies. ies fee hog fb odd OCR Be ee a ee ee 144.49 
PrOvViISlONS. SF vet eee vats Ges bs +b Wieee So 18,580.31 
Drugs and medicines? “.24.2.. 0. . 7 tes a ee eee 154.82 
Dairy expense <:.2... 005-002. eg See 1,624.65 
Farth: 0Xpense. iw dovustle: 2a elu Ne es -; Sees 1,910.42 
Repairs heating system... ......0cek omnes bene ee ee 74.70 
Repairs and supplies plumping system... ....0. eee 546.44 
Repairs old. buildings (<..2. l2s2 a eS eee 657.24 
Repairs: pump, |. 04 LO es eres ee bea Lo tOd 
Repairs farm, House 22.2 ad ee een de. oe 56.20 
Tears ve Ae Ae oe A EE ae ee 195.74 
Kitchen ‘supplies 20. .i.vslia vues doses an ee ioe 
Service cooksyeter es Si. Pe a We ee ee ee eee 106.54 
Nursés and attendants. 7 ).00) au oa ie Eee is 78.97 
Training Schoolibooks: =. .%....0s «ess seculanhe pone. 29.12 


Refrigeration (supplies) 74 eee se ddloea ole 82.40 


Linen and 


Crockery and silver 
Expense (grounds) 


Hogs 


Machinists’ 


Safe 
Paint 


eeee 


Stationery 


Improvement (grounds) 
Kitchen equipment 
Telephone maintenance 
Refrigeration (repairs) 
Clearing new ground 


Salaries . 


S. H. Cabanis (traveling expenses) 
Concrete reservoir, No. 2 
Well, No. 3 


Library 


Surveying and platting lands 
Plumbing supplies 
Telephone installation 
Farm live stock 
Farm tools 
Charles R. Whitaker (ice plant) 
Hospital dray 


Appropriation 


Office furniture and fixtures 


Stamps 
Salaries . 


Traveling expense 


Bookcases 


Freight and express 
Office supplies and expense 
Expense speaker nurses’ meeting 
Tuberculin 
Lantern slides 
Stereopticon lantern 
Medical books 
Library books 


eeeee 


Tue Nortu Carorina SANATORIUM 


PPCM CLE] ere Cem eee Bee he Me TNT Usa us We eR he Cae 


Cee Oe NODS Melee 6. s8' C6 Le Site: 30) 0," 4) 16 “ot te ser eo: bo. pret elven te ewe ce celaenlgn 6: (6 ee? bo! ot le ek we 6 
Oe a TUS Oe VALS UOTE OMS ISLS SG Le 6 0, ee 1ecs” oh a ie) e 4} Eve oe Oe wel re Oe elm ete 6 
C5iSe (GN ONT Os 68 0% OH cin 0K 07 ON 6% Ch Oly OFC ©) O04 Or On Os 0) 6) OW Oo OW OH Or On O10) 0 6 OX OP OK Oe 6 8 68 6 bee ttle kk 


tools 


ASRS, LES Tee O66. OBI Jeb, ante We! 8? ae de cet gt Tet fe" oto: lel ea) ew Moreen 6 whe, oF w 


See eee es) Cate tS Chien (Oo ce 96, ‘a © GO 6. C6 8 ue) ENG) Ce of 6) oF OF 01 oo é 0) O 67.0 OOF ¥ Selig fe. lee) oe a 6 8 


Sa eos el el ew ee. Nie Sle) 18) 6) 60 6 6) eC 4 8 6) 6 6 CEO 8 Owe Ses. Fw Oe 6 8 8 6H Oe Oe Sw 8 He 8 6 


Pee res One are CO. (6 6 Eee aD O16 9) 61/6). 6 ee) te) 6. ee (OOF 1S (6! ©, oO) 6 16, O00: 6: eo 6, 6 0: & 8) eo “el 6 0) @ 0 8 


Sem emar'¢ TOR@ns Vale O10 6) Cel 6) 6 SNe ee) OS chide Ode 6) 6) Gre 16) 6, €. ord: @ 8 Oe ss FS 68 8 Se Ghee 


BO) Be) fe) 0) .e) OO. 8 18) 6 ee) ONS) Ee 6 816. OO) KH SF Oe, Fe Oe © 68) OS 6 0 


Se eae) OM el Che ee. (Ol Gale RG 6) whe) OF w FOV. OS Ge! Oh OS 8 | 881) 6-6) A Oe) 6 <8) 8 whe 8, OO ew 


Sasit/o) eee) es16 (© Cite « e 0) 6 (6 Oj (0 ie, @ 8 0: @ 8 ss. 6 » 0) eo 6 6 0 © we 8 6 6 26 


er favtel c) BPeM ew, ee he 2 He Merwe sive Fe Mee es Oe os 60 He, ver ei Keke (8.6 Of. 8 %8! WW ‘eo 


OLS) O40) 18) (6 Se Ge 10) O16. 78 cee 6) 6 6) 1S 0; (O)L6 <0 16,0: ele, G18 el 0, 6 eS. @ 8 % 6) 0 & 


OTS AS OS O16 (6 @ © 6 (8 ee: G6 0 6 6 6 4 8 6 te eee LW Oe HT Ce we MO mee Oe ee ww we 8 


> 6 if) 0 0) WW) o\6) Www Co 6 6 6.6 6 6) si 96 \o Ve # © 6 6 1 6 


Oe en S -8) 16 G0 Os 00) -B) 6) Oe 6 O, (67 8,0. 16) OLM1e NO. Rene 6S Fo 6 0.16, 0 0) 8 0 6) 6_@ 


Wait 6 OA1e) O'S, 6) 00,8) 6/6 16. @: 8 6 © 9 6 © 6 @ @-0 © @ © 6-0 + » oe © 80 6 Oe sot 8 Oe Be ew ee Oe ew 


SSCs C0 O16) Oe 6.6 © 9 a 8 6 0 es 6 © « 0 © © 6 0 6 @ <0 b.'0 6 6 @ © @ 0 #8 6 6 6 0 6's © 6 ee 6 6: 8 6 


si aifetke! ole! eae) eae 10/16) 66 @ (8 _'6) 6) 0| 0: 6 10° (4 (el Lmliy) 6: (Gig) en te: ‘ar .6. 6) ie, 16 
SiC isre! 6 SB) 018) S718 86) b) le 0! 0 oo C's) o 68) ol @ 16 6 8.6. O 6 0 O18 © 6 8 ee 8.0 Pe 8) 6.6 
Gwe elivhier se «8 @ 9 (9 6 0.0 6 @ 6 1016 6B ee" 0:0) SS 1616) 6) 0! 2 Ore 6 6 S18 © 6 B 
SEU siieinel ue 6:6) (0) ey 6 ius o's 16) 6 6 (6 0 ele‘ (6 » 6 © ©: 8) 6 s. ©) 9 (en 5.8 (0 © 0:6 0) @ ©. © 'p),8) 0. 8 0) 10 
Se ous S66 @ S16, 0 6 0 2 8 0 6 66 6 COO OC Ho 6 OS OE OOO a OO 8 Oo 8 wo so 6 8 ew 8 
coe ere eee ee eee ee ee eer eee ese reese eee se 


Perse ee aCe ees eeeveoeeveoreetst eee eee Setieeeeeveeveervvereve 


STATEMENT OF EXTENSION FUND 


RECEIPTS 


S/S POlc6 6 16) 16 6 "0 (6 "es “0716 "s © © <0 0s, 0)" 6 6 6 @ 6 0 @- 6 0 Oe ¢ 6 © 0 @ se be 8 @ 6 6 oe 8 8 Of 8 8 8 


Oi Oe) Ble (Al eye (6 6:0 BO a 0) Oe 6) 6! O, O° e, 610s: Oe 8) 8.0) 6 LH oo 6) 0) Sle 0, 6 Ss 


STO 8u eel ele, (elie 'e (9)! 'e (¢ © @: «6 & © & S| 6 8) © @ 8) 0 ©. & © 6 0) © 6 ie 6) 6 & © © ie 6) 8's 6 «6 + 6 ee oe 8 


O: O76 6) (elie) 0 5.6 0 6) 6. @ © ¢ © 6 6 @ © 0. 6 4, 6 © 0 © 6 #10 0 0 © @ Oe @ 9 @ © oe Oe, 6) 0 0 0 6 Be ee fs 


SES Lelielie ie) (0,18) 5: 6 Fe, 0) (i.0: 6/,.01,16) 10) 10) Os) 4) elsi ie) O18) 6. 0, '@ @ 6 6 0; 6, .0\ © (0) @ He. 6 0) Ae One 
Cis Mattodial/eice Relies site) wilt 6.6 16,0 Je ee! 9,6, (0.).eu0) oe 0) @ Nien #1 0/,0) 6) 6.68) (6 oS 6) ole 4) 0 Om eke ie 6) 018, 0) awe Oe 
aPeiiel se) ire) .6) (oe! @ 0, a a Ol pie o: Wire ©) \0 16 6, O's) 0) ire [@ Ul v0) 'e (0: 6) 6) ):0) 0-0, 6 10-9) @).0) 6 
Cl Col eNO GMO [Ds COMO: URGING IG: UE SIeC) CeO RG Ga a Se Dp ola Cet eC IOC 
0 6 ene, 6 Su iG) o. Toe) ee \0L e161 46) Ol Selle 18) 0! SNe OL Ss) 9 erel eb. Sls 
Lei piae ne) sire Teele) Oy ie! “a bs di tel, 8.0: 6, w)-8i 0! 0. <b) Ver, ele oe) © He: Ole) Fe hey e's) e's 16) Oey se) ie) Ss {8 .6, 6)"e 
Pilot eka lee 4 Te 6h ier erie opied\6: 6) 86. 0: ese) us he! ce) b.*s, 06 #5 SON'S) (8 OG (O27 alte “8.16 ED) OOS! [OS 86) .O! € 
a en talvien ine @)Xsiatehe a) <@1 0), 6. Pie) #18! to" el L6 010) ihm 01) 56) (6.056) ‘eo! @ 506; 0/40 (eLioye @) @) 6 8) 6 46,"8 
mieten eles eel ne £0) ae 6-8 .e, e!6! s, 6) 6) 1a) 0" 6, 6) en le) © 16, 6:18) 6:46 TO O16 Ua! (6% eliem eho Gre "8" elie Che be 


ele a OLlbl-e2 s7 8 Je). 6) een 6 6-6 «6 8. @ 3's: 0) ee le 18 we Gree CF oe" © Oe @ lon 8 a 0 iG SNier e oD lee p: € 


Miss Florence Housevold, expenses Lexington, Ky., to High Point.. 


Expenses attending State Medical Society 
Expenses Miss Kimble to N. C. S. and return 
Traveling expenses, Miss Kimble to N. C. S. and return 


pine’ oF oe 0) (07 O67 8) @ Sie "Sltumle, ee ew, 0 a 


oe tur abe. oe lelie 6 e, of st 


29 


$ 1,092.89 
237.32 
16.08 
287.66 
38.22 
65.00 
100.83 
55.47 
24.65 
96.59 
108.68 
8.29 
109.86 
65.69 
74.17 
2.25 
187.14 
26.00 
6.54 
122.70 
30 
683.10 
610.00 
147.74 
34.30 
5.30 


$43,640.08 


$10,000.00 


$ 846.62 
895.91 
3,240.28 
660.68 
87.47 
22.20 
263.29 
80.49 
25.00 
$3.20 
35.00 
24.75 
2.00 
27.92 
143.81 
45.70 
45.70 


30 AnnuaL Report, 1916 


Traveling expenses, Miss Cabanis from St. Augustine.............. $ 33.10 
Traveling expenses, Miss Cabanis, on duty 1... <5.ccctenclcuene hers tanner 27.40 
Traveling éxpenses, Dr. D. G. Absher to Sanatorium. .2.. 4 eee 5.80 
Supplies sac 5 See cle i SR sees ween ce ae aes Be a ee 4 2nd 
HEixpense of William: M.. Jones... <..%...5 sc ached alone eiewens ene alr ee 5.50 
Hyxpense'‘of. Dr. FF. M. Registers. <4... «. cng eee ee eee 9.20 


$ 6,590.32 


Transferred. to Permanent Improvement] Punt? .).e ee eee 3,409.68 

$10,000.00 
TRIAL BALANCE DECEMBER 1, 1916, AFTER BoOKS WERE CLOSED 

Surplus sc cases b0 6 eeless 0 Se ooece 9 wo esa oe ie eee $158,961.13 

Real @state (farms) 22. oc 0.20 oe ce $ 11,283.36 

Real estate (hospital and buildings). .2e ee 106,808.85 

Pump ‘Station 2.5.05 6s c-css ee Soe 8 oa 5 ce 1,108.21 

Barns. and S109 = 2.0. ecw so scsd oe oes oe es cs 2,232.71 

Acetylene light) plant. ..05 «0.6. s-sclv 5 = o0e oa ogee nn 645.17 

Dining hall and kitchen furniture and fixtures.......... 3,642.90 

Hospital furniture: and fixtures. .2.... 23.0.2 eee Oo Lovet. 

Nurses: home furniture.and fixtures: 2. scene 501.45 

Superintendent’s residence furniture and fixtures....... 646.40 

Dairy fixtures). ..2.05 <2. ek eae eis 4 0 0 en ade 320.10 

Harm machinery and stools - 22 <3.5escuse ee ee 474.15 

Marm. live: stock. iss %. 6s sks eta ee 1,710.00 

Dairy Hive Stock... ctacsil ccs «ute rse Gok ola oh ne etn 2,890.00 

Linen-and bedding. .~. -4 ce. 2. oa ee ee 2,566.60 

Hospital: supplies: 0. uce oe. on se eck ae 1,866.61 

AMLbOMODIlE cee. ec sie cs ois & 2s ace See 250.00 

PABMS CXDENSC. co. occ 5 dhe oe «ets nus eoula ve nee a ee nee 484.06 

DAiIry CXPCNSE ©. 6 ace. Belvin f Laces ane BP cee ee 2,489.60 

PLOVISION SS © us)s sits o ates 2 wale ks 406. ageliep Panag cnn ee 648.58 

67072) Ree a ree iran wire eee ARR aa oo 85.00 

Books (Training School) .... 0... steer e 85.30 

Hospital Gray oats ce «ces as Peed Apis eters sae 35.00 

Permanent Improvement Mund’. ...0..c0. scene ee 15.00 

Bank Of LOK Gsci ie, auc. aera ave fone 010 16to sates oats re ee 96.39 

ODS. oc iie ardnle bo oo one sn a Sele bes easter ava ei Lei Sac00 

Power, heat, light, water, and refrigeration..,..:22)...- 1,579.98 

Telephone System... 2.7/0 <5 aie eacae ae leee 2 hee eee 1,075.34 

UGG: PlATit oe cla ccasdls 0 eee week Pe a te Se at 2,239.80 

Stereoplcicon “OUtAT. .1.< wi. oie nce sesc tees maces eee ne ae ee 118.20 

TAD PAL Y 2 eis eesie oins e Sn  ea ea hata eee 125.00 

Power,. beat, and Gléctrics plant... 4521-542 ee eee 3,569.12 

Office supplies and expenses (business)........./1..... 98.35 

Office supplies and expenses (extension)................ 212.50 

Laboratory and médicalpequipment.viercs. -.ae eee eee 486.83 

Laboratory. and, medical*supplicssaesas. epee. eee 183.00 


Tue NortrH Carotina SANATORIUM 31 


Stenographers’ home furniture and fixtures... ..0......4.: $ 145.70 

Me Gem tiD MelMe (DUSINGSS) koe secs sv ok ore dls eevee cb a's 430.02 

GEE TUIDIMNell COXtONSION) (fe jc... css sev bic d vane oe oe ne 1,643.49 

Sa I eg eee i as bend ie sé tive ovis wn menace 687.74 
$159,072.52 

Our NEEDS 

Se TPMT TOME) UE DL CLE TL Sos, thie, ots. oo vere wanes Ge ee Heer eie.s eonce ealace ares $ 60,000.00 
See a ST OMI ELIT UIIIOINS ccs c ee oo kc a cls ces oS lg kt CoO wee vee es en 10,000.00 
ee NCE ane hen sors dae Figieldiewis hos. else gs ses apeesaeaes 7,500.00 
ee meme IE er Lees 2 tall, ie aes Me die ole 4 se aa ve) to apd a Wedhere 0 ie vee s 2,500.00 
reer ets TESICGNCE 2s oc cy cots os osc ce oes tle ee oe ee eee ee wale 13,500.00 
Re ETIC ETN OV COG ae. sr oe oss Dios ci ds cece et te Cee eee des 7,500.00 
aN IP EI ee ge Sg alae. «eg di s'ee)t:'s ‘slale s diols 4's ee b Sieve tunes 6,000.00 
Bewerase system and disposal plant... .... 0. acc ce ce ee eee tees 8,000.00 
I (eT SC CTOS) oe osc cara die c's leis 6 6s bora wee ee bees eeaes’s 3,270.00 
RIOT TICN OE WOLGT POWEL . 2.5 cc. a ba wo os carene pps es ca see ene wes 18,730.00 
Meee ae tee TOUIN IS. ig ois Sa sie eie's aids bG wie 6 0k ws ws wee eee wes wa leiee 1,500.00 
Ne TIPE RISES THC D OC ne. cls co pelea & oes 0 buss Cow a dew eee een ea eet 2,500.00 
gh ye iv SLR WAVES ag sl a er ar eee re Pe 6,000.00 
Serve renOURpCraAnd latmnadary DUIGINEG... 1.2... ccc ccc ete eneewenessee 3,500.00 
ae So a gris ns Sul ee eee. Patek O nog 8 W3 s\b & wee a tod eel 2,500.00 
i Sl Sy ck che ee Cada ciacescercecveseesges 1,300.00 
EUG) es 9 ey Ae 1,000.00 
ere etn ZOE OTeCIOLN INS an ol oie ee oie eo oie a st weln a ev esas 1,500.00 
Steam sterilizer for milk bottling plant..................+..-.... 1,500.00 
i A Fe eg eS gle sp So bata e FE OR eee ole one tua see $158,400.00 
ee INCOM ME Ace iig oics So ds cle vce c cs ces une vevevsvioaeesae es $ 30,000.00 
er CC) OMe yn es, fa. aca eyate aso) e's ss hobo one ee 88 ac eee 40,000.00 


Ome ea MMO TMECUT UR) UL U1T eet see sis orale ss of Siete they Soin v0. 4 foe ala oso Soe so 80 15,000.00 












ie, : rt ae 

a on . oe 

ee A ee 
a fe = >. 6 


» @a ee 
> 


’ 


a 7 ¥ o/ 


b ee Miso 

ee ow 

- (+ Fase 7 rs 
- ’ ® Fee Ob, 
ae pea 


aed 
sie 


FOURTH ANNUAL REPORT 


OF THE 


North Carolina Sanatorium tor the 
Treatment of Tuberculosis 


UNDER CONTROL OF STATE BOARD OF HEALTH 


SANATORIUM, N. CG. 


1917 





RALEIGH 
Epwakps & BROUGHTON PRINTING COMPANY 
STATE PRINTERS 
1919 


SIGNS OF TUBERCULOSIS 


A hemorrhage of the lungs means tuberculosis without exception. 

A subnormal temperature (by the thermometer) in the morning and a rise 
of temperature in the afternoon means tuberculosis 99 times in 100, and often 
the other time, too. 

A low blood pressure, taken with the proper instrument, is suggestive of 
tuberculosis. | 

A cough that lasts more than three weeks should suggest tuberculosis and 
should call for an examination by a competent physician. 

The tubercle bacillus in the sputum is a positive sign of tuberculosis, but 
the diagnosis should be made long before the bacillus can be found. 

The earlier the diagnosis of tuberculosis is made, the greater are the 
chances for recovery. The later in its course the disease is found, the less 
are the chances for recovery. 


NORTH CAROLINA SANATORIUM 
FOR THE TREATMENT OF TUBERCULOSIS 


(Under the control of the State Board of Health) 


PERSONNEL 

MEMBERS STATE BOARD OF HEALTH 
Dr. J. HOWELL Way, President.. A GaSe Saal or hh oe pet Waynesville 
re ETA Sob orl SEW TS are) 25 ace sleen'« ocble slog aves kb cleele wa se wee os Raleigh 
oo. ef, LIS U0 00 ge Jt Ae Stemi lee Winston-Salem 
ME ESOT es Gclivim siaek oo hike @ be ie eles SeTMR es oe wc ade Charlotte 
NERO RES NT EAN DIRSON . yc). c eke ce lels pce sv cle clswele ne bueses Statesville 
Seed Abi) () F1. LAUGHINGHOUSE:. 2... ...02..000 cece cv cwccens Greenville 
ert TERS IU C1) ch, os gcc Gc co sob evs ova ese o ee ele ace 6 wbew av des Wilmington 
Rts Un UNSEEN Gas 2S Re ea ie se Br Henderson 
MTs PEL ORUESO Nore os choc ns leo 4 Hie blk Ole ace ene wae bt alala oie Us Jacksonville 


Dr. W. S. RANKIN, ELxecutive Secretary, Raleigh, N. C. 


SES OTIS TIGRE 5 re L. B. McBrayer, M.D. 
Assistant PPO GC ICCHUCIIC. oie. leds ewiveae ee cv e's es P. P. McCatn, M.D. 
Reem te MM NN SECIIINN J oi 5 a oe vo 6c de elec s diaie ie stele Baie W. H. SHERRILL, M.D. 
Private Secretary to Superintendent.............. Miss R. WITHERS 
ae EN ADT Mr racy oak e ao: \'s: «. fig ce loeb ahs ore ee avece's Miss MAMIE O’KELLY 
EURUIGSE - oo Bete Ea ee Vee le ntlina 
ME Wap as WN GR te ee a J. ov. “CLARK 

RIOT MNET 2 i) hot ielaln see wc EAE ayer cra Sites ans S. A. Perry — 


EXTENSION DEPARTMENT OF THE NORTH CAROLINA SANATORIUM 
FOR THE TREATMENT OF TUBERCULOSIS 


BUREAU OF TUBERCULOSIS, STATE BOARD OF HEALTH 


@hiet- ot Bureau......<. b Sra see oh car inb ke ket De ea a ee L. B. McBrayer, M. D. 
ear etme MeL COL IS ULCAU. fat 5 alc ce ghacsoh iene neta. oe P. P. McCain, M.D. 
SUMS? Ney TSI VE AGT eel Miss R. WITHERS 
QUERIES Bap. tReet aE a tea na ea ree A. W. SNow 

Miss B. WITHERS 
Pe O CEA DIOLS Ie ee, sates Waker, AV GS Coe iy oS !s diene. as Miss L. THORPE 


Miss L. LINDLEY 
Director of Education and Organization of Negro 
URES gO oy, DER OE 8 EES Tal el an Pn rN ie RP FLORENCE C. WILLIAMS 


4. PERSONNEL 


STATE RED CROSS SEAL COMMISSION 
Mrs. C. C. Hoox, Chairman, Charlictte Mr. A. W. McALISTER, Greensboro 


Mr. Hamitton C. JONES, Treasurer, Mrs. C. Martin, Wilmington 
Charlotte Mrs. W. N. Hurt, Raleigh 
Dr. OTHO Ross, Charlotte . Mrs. T. D. Jones, Durham 
Mrs. G. M. Fincer, Charlotte Dr. W. L. Dunn, Asheville 
Mrs. CHARLES R. WHITAKER, Hender- Mrs. S. H. Brown, Oxford 
~ gonville Cot. J. L. Luptow, Winston-Salem 
Mrs. MARK QUINERLY, Greenville Mrs. J. L. Wermore, Arden 


Dr. L. B. McBrayrer, Executive Secretary 


Miss R. WirHers, Assistant.Secretary 


LETTER OF TRANSMITTAL 
Dr. W. 8. Rankin, Secretary, 
State Board of Health, 
Raleigh, N. C. 


My Dar Doctor :—LI hereby transmit to you, and through you to 
the State Board of Health and the Governor and General Assembly, a 
report, being the fourth annual report of the North Carolina Sana- 
torium for the Treatment of Tuberculosis, for the year 1917, covering 
only financial statement and medical report. 

| Very respectfully yours, 
L. B. McBrayer,: 


Superintendent. 





MEDICAL REPORT 


DEFINITIONS OF TERMS EMPLOYED 
On ADMISSION 


These definitions indicate the furthest extent of disease and the greatest 
severity of symptoms that a patient can present and still belong to the stage 
defined. All patients beyond the incipient stage fall under the moderately 
advanced stage unless the physical signs and symptoms exceed those of the 
moderately advanced stage, when they should be classified as far advancea. 


Incipient. 

Slight or no constitutional symptoms (including, particularly, gastric 
or intestinal disturbance or rapid loss of weight). Slight or no eleva- 
tion of temperature or acceleration of pulse at any time during the 
twenty-four hours. 

Expectoration usually small in amount or absent. Tubercle bacilli 
may be present or absent. 

Slight infiltration limited to the apex of one or both lungs or a small 
part of one lobe. 

No tuberculous complications. 


Moderately Advanced. 
No marked impairment of function, either local or constitutional. 
Localized consolidation moderate in extent with little or no evidence 
of cavity formation; or infiltration more extensive than under incipient. 
No serious complications. 


Far Advanced. 
Marked impairment of function, local and constitutional. 
Marked consolidation of an entire lobe. 
Or disseminated areas of beginning cavity formation. 
Or serious complications. 


Miliary Tuberculosis. 
On DISCHARGE 
Arrested. 
All constitutional symptoms and expectoration with bacilli absent for 


a period of six months; the physical signs to be those of a healed lesion. 


Apparently Arrested. 
All constitutional symptoms and expectoration with bacilli absent for 
a period of three months; the physical signs to be those of a healed 


lesion. 


Quiescent. 
Absence of all constitutional symptoms, expectoration and bacilli may 


or may not be present; physical signs stationary or retrogressive. The 
foregoing conditions to have existed for at least two months. 


8 


Annual Report, 1917 


improved. 


Constitutional symptoms lessened or entirely absent; physical signs 
improved or unchanged; cough and expectoration with bacilli usually 
present. 


Unimproved. 


(3%) 


5. 


6. 


G 


All essential symptoms and signs unabated or increased. 


Terms USED IN DEFINITION OF “INCIPIENT”’ 


. Slight Constitutional Disturbance. 


Slight loss of appetite, of strength, of weight; lassitude; possibly 
slight acceleration of pulse or possibly slight elevation of temperature. 
The impairment of health may be so slight that the patient does not 
look or feel sick in the ordinary sense of the word. 


. Slight Elevation of Temperature. 


Maximum temperature after rest for one hour, never goes 99.5 to 100 
degrees F. by mouth (or 100.5 per rectum). 


. Slight Acceleration of Pulse. 


Maximum pulse rate not over 90 after rest for one hour, sitting or 
lying, except when due to causes other than tuberculosis. 


. Absence of Tubercle Bacilli. 


Each monthly examination (if the sputum be negative), to consist of 
a careful microscopic examination, with a mechanical stage, of two 
smears, devoting at least three minutes to each smear, made from 
selected particles (at least six from different parts) of the sputum on 
each of three successive days. The morning sputum should always be 
obtained, or, better, the minute bits that some arrested patients raise 
at very infrequent intervals. It is not yet deemed wise to insist on 
digestion and centrifugalization, or on inoculation of guinea pigs. 


Infiltration. 

Physical signs of slight prominence of the clavicle, lessened move- 
ment of chest, narrowing of apical resonance with lessened movement 
of base of lung, slight or no change in resonance, distant or loud and 
harsh breathing, with or without some change in the rhythm (i. e., 
prolonged expiration) ; vocal resonance possibly slightly increased; or 
fine or moderately coarse rales present or absent. If sputum contains 
tubercle bacilli, any one of these. 


Apex. 


That portion of the lung situated above the clavicle and the third 
vertebral spine. 


Small Part of One Lobe. 


An area of one or two intercostal spaces, or an area not exceeding 
60 to 80 sq. cm. in extent, according to the size of the patient. 


Tue NortH CaroLtiIna SANATORIUM 9 


TERMS USED IN DEFINITION OF “MODERATELY ADVANCED” 


8. Marked Impairment of Function, Hither Local or Constitutional. 
Local: Marked dyspnea on exertion, limiting seriously the patient’s 
activity. 
Constitutional: Marked weakness, anorexia, tachycardia. 


9. Moderate Extent of Localized Consolidation. 

An area of one-half lobe or less, but may involve both apices; marked 
dullness, bronchial or decidedly broncho-vesicular breathing; markedly 
increased vocal resonance; rales usually present. These signs are to 
be sharply limited as to area instead of gradually shading into normal 
physical signs. 


10. Evidences of Destruction of Tissue. 

Presence of tubercle bacilli or elastic fibers in the sputum or the 
presence of the physical signs of a cavity. There are no absolutely 
certain physical signs of cavity, but a combination of any four of the 
following signs is to be taken as indicative of a cavity: (1) cracked-pot 
note; (2) amphoric breathing; (3) intense whispering pectoriloquy; 
(4) a veiled puff or post-tussive suction; (5) bubbling or resonant 
rales. “Physical signs of softening’? do’not admit of any definition 
apart from that of cavity formation, and the terms should not be used. 


11. Disseminated Fibroid Deposits. 

More or less localized areas of fibrous tissue, producing on physical 
examination some change or dullness in the percussion note, more or 
less increase of vocal resonance, harsh, suppressed, or broncho-vesicular 
breathing, rales sibilant or sonorous usually, but at times fine and 
moderately coarse. 


12. Serious Complications. 

These should be limited to tuberculous complications, such as menin- 
gitis, pharyngitis, laryngitis (except slight thickening in the posterior 
interarytenoid space, and superficial ulceration of a vocal chord), 
enteritis, peritonitis, nephritis, cystitis, orchitis, adenitis (unless very 
slight), etc. 


10 


AnnuatL Report, 1917 


MEDICAL REPORT, 1917 























STATISTICAL 
Number patients to be reported’ 0. 2 -h teense eee Maes HAtee het 319 
Number not tuberculous ......... Py PET, AG 8k eth tn Pr) Ay, 1 
Number patiénts in Sanatorium December 1) 1917530 3n.. 4. sas 126 
Total number patients treated during the year..25.2...2.. /.... 446 
35 PATIENTS WHO STAYED LESS THAN 320 DAYS. 
Condition on Discharge 
Condition on Admission 
Arrested Appar Quiescent | Improved Peek Died 

Incipient eee see 9 0 0 0 9 0 0 

Moderately advanced_-_--11 0 0 0 10 1 0 

Har advanced.2..22- 2.2. 15 0 0 0 fi 7 1 

Acute tuberculosis___----_ G 0 0 0 0 0 0 

Totals: = 22 eee ae 35 0 0 0 26 8 1 




















Total number days, 667. 


Average stay, 19.05 days. 


Longest stay, 29 days. Shortest stay, 3 days. 








Average gain 
Largest gain 
Smallest gain 





Number Gained Weight, 24 Number Lost Weight, 6 
‘Sa OCA E AE Te eae bate meee ae 3.9 Lbs. | -Averageloscwes se nee ee nee eee eee Gb loss 
BEC errs 41 i BeBe 14... Lbs. 4 Liarecstloss= = eee eee oe es ace 
pS A ie ia Eye Ts pee Re as 5 Lb. Smatllestiossse. 22 ete = ee ee ee OE 
eet als Eb ads Lier TC dhe eh c. 1 | Not weighed 4 


Stationary 




















80 PATIENTS WHO STAYED 320 TO 89 DAYS. 
Condition on Discharge 
Condition on Admission ; 
Arrested pa diee ec Quiescent | Improved Sad Died 
Inempient = sosseeee eee 22 0 0 11 11 0 0 
Moderately advanced-_-_-_-39 0 0 13 24 2 0 
Far advanced_______-___- 19 0 0 1 8 8 2 
Acute tuberculosis___-.__- 0 0. 0 0 0 0 0 
ROts Seat eet eae 80 0 0 25 43 10 2 











Total number days, 4,592. Average stay, 57.4 days. 














Number Gained Weight, 69 





Average gain 
War Cestig ain =aeeee ean 
Smallest gain 
Stationary 


9.52 Lbs. 


Longest stay, 89 days. Shortest stay, 30 days. 


Number Lost Weight, 10 





Lbs. 





4 


Average los§s--s-.22. 28S eee 4.05 Lbs. 
Largest loss-22225. 22 2 eee 8 Lbs. 
Smallest:loss.-222. See eee ..50 Lb. 





Tue Nortru Carorina SANATORIUM 


11 


204 PATIENTS WHO STAYED 90 DAYS OR MORE. 

















Condition on Discharge 
Condition on Admission 
Arrested eeerenty: Quiescent | Improved 
PmolMentes. kes oT. 67 19 37 2 7 
Moderately advanced.__.78 14 15 27 17 
Hisgread vanced 2.2 -2---._- 59 0 3 16 25 
Acute tuberculosis_-__.-._- 0 0 0 0 0 
otaisseseeat so) | 204 33 55 45 49 











Died 


onc & 


17 

















Total number days, 38,252. Average stay, 187.5 days. 


Longest stay, 695 days. 





Shortest stay, 90 days. 





Number Gained Weight, 173 


LORE SS (ON rr 16.35 Lbs. 
ILORS GE CON as eas ee 48.50 Lbs. 
Bmallccisgaine-©-.0.22 2. J. .-i_..----- 1 Lb. 

Pe IIOUIAE Vee 2 oe nee nee 1 


Number Lost Weight, 26 


A Vera gelosse eee oo ceo oe 7.99 Lbs. 
Warcest; lossini et Me omeeee aS he 33.50 Lbs. 
Simallestaosss- tase eaten ek eae 1 Lb. 











HISTORY OF HEMORRHAGE. 


INGO Uy Comer se IN tie Let ieee eile Vere oe Seteto eS SE 218 


( Previous only 


Positive « Previous and during residence___---_..---------- 
JDyowstiayen rafecunelernvere Moya ate pe ee ee eee ae 





78 








RESULTS OF SPUTUM EXAMINATIONS. 


Negative or no sputum 
(On admission 
Positive <« During residence 
ie discharge 








5 PATIENTS WHO TOOK THE TUBERCULIN TEST. 














POSLULV Cee meneraae neers an ee Ee ee tr Sy a ea ee We Mise Be 4 

INGO tiveness ee ees een ee eee ee. ee Se ese ne 1 

‘LOtal es mak 2 ee eee hee eae te See eee 5 

COMPLICATIONS. 
Aenitigue eee ee i | ABIES AP ONE Ee ae eee ike |) aeahowai oye ee 1 
AM aletistulamece ne eee Wai@hlerpes Z0steiess- eee ctesc one JE Ereonancye- sine eee 4 
PMODENUICItISecs: 8s ee en, coe cece IS euarvingitistessscse same ee se ee ATs lASctaticaee seen ee eee 1 
AST In aes rn er eae SpiaMeningitis-e- 2 = eee eo 2b Scolvosissee ee eee 1 
Bronchitis__---____- ling: 1 Sh ap ee 13 | Mitral insufficiency__---.-.--- DeeSepticnsrthritiss- === eee 1 
Broncho-pneumonia..-.-------- TeeOtitisnmediasss == sates. = 3 | Spontaneous pneumo-thorax. 2 
GarcinOma oe see ee OER Panan Olas ssee eee e eee. = IES y philiseese ee ecm ee Seen 1 
etlulitishse 8 aoe ee ee 1 | Parenchymatous nephritis_-. 6 | Tabes dorsalis....-...-..-..--- 1 
interitisme eee ns ee ee ea [5el@Pentonitises: sor ee eee 3 | Tuberculous knee...-.-.-.-.-- 1 
ME OnOLTNeA Cea ee eee Iepeharynoitisseeese ss se eee ee 1 | Tuberculous sternum__.-.-._-- 1 
Pleurisy with effusion.--.___- 8 
















































































12 Annuat Report, 1917 
SEX, AGE AND CIVIL CONDITION. 
Age Civil Condition 
Sex 
8-19 20-29 | 30-389 | 40-49 | 50-59 | 60-70 Single | Married | Widowed 
IM alle Sus eens = wee 176 20 73 41 16 1 90 81 5 
Hemalesss ose 143 20 62 38 5 0 64 73 6 
Mopalssae= 319 40 135 79 21 1 154 154 11 
NATIONALITY. 
Americanz.22.-63 ee ee eee 316 
Scotchman. - 22. 2. 2226S. st eee 1 
Swedes 24. ee eee 1 
Syrian. ...2222.- 450 3sc3 2 eee 1 
Total scsb onde oe ae ee ee 319 
OCCUPATIONS. 
Barbers esses. eee a ee eee 1 -Ruralimailearriers] see) oo eee 1 
Blacksmith=. -/o°rs2 ces... 24 eo eee eee | + Mechanical. yee ak eee oe oe ee 3 
Bookkeepers 22). 22 eee oe ee eee eee 4 |. Merchants: 22 seater eh ee ae 9 
Brickmasons. 2. ae eee Seen ae eee 1- | Mintstersore mre. oe tens eee oe ed eee 3 
Butchers so. 2 > ees ee eee eee ere 2 Mothrmen=sstrect car one sae eee 2 
Cafe'‘manager..2 es cow eee ee eee 1}: Néweatoners: ies es sate c,h oe eee ne 1 
Gatecwaiter coe oe ee ee 1..|" Nurse=graduates sess. ae ee eee 1 
Canning club demonstrator-__.._.._------------ L | Nusses“prarticalts 2 r-- cee. eee ee eee eee 2 
Carpenters<c ea: . 2-2 sessed dee ce teeccee ise eeaes 5. | Nurse=spupiliscesse seat ee eee 2 
Chauftour S42 os one leer eee sees eee 1: | Painterity. 2220 Sy eee se eee ee ae 1 
Givillengineer) se els). aaa an ee eee Tt Photographer ssact ese eee oe eee eee i 
@ashier‘ot baniki so aeeeee ee ee eee 1 -| “Phiysician sieeses tate aad eee ye eee 2 
Gashieriof-mouons plebUles a2 ae eee eee 1 | Policemapectek sees a eee eee 1 
PG lerksiin |OMCGs ce, ek eae: vee ee an eae ene 4 | Printert Sete aera eat ae oe Ce ee 1 
Glerkalin(storesst.o- see ee eee eee 8. | Proofreaderssseeee er ee oe ke ee ren ene ee 1 
Contractorst8 2 ae see ats ate epee 2 | Plamber 2 2ee se eee ae ae eee ee re 1 
Dayal a OLer cee sae ee atretae e at ee anette oe 1. || Proprietor*eata 26 eet oe ee 1 
Draymans 2 2o0 095: 1 eee, oie ete ee 1 | Proprietors lumber mills___..._-____- A GO in tee 2 
HléctriGtans=. 4 tee os teen eee ee 2..| Railway car inspector==-25- =. ae ae eee 1 
Employee box factory-----.-- aa ask Se 1.) Railway conductors 2-2. --e ee eee 1 
Bimiployees cottons! | sa=s a === = ee aa ee ee 10 |}: Railway firenta noes sso. 22 semen ee ee eee I 
Himployees: hoster yam sass eee 3) | Railway station senses eee ee eee eee 1 
Farmers s.222 224 Sie ee ee 50':|- Real-estateragent s222-- eee ee eee eee 1 
Hisherman: 205-8526 cea eee ea ee beree 1. |). Satlors.3j5 5 5ee es ee tet ree ee, ae 1 
Horenlanhinee ovcor srl aaa ses enna 4 | Seamstresses: ss. 3 see ee ee eee eee 2 
Foreman in fertilizer factory_..-..-...--------- 1°} Shipping cler lies eee eee at ere 1 
Glass=blower terete: 5 sce oa cae ee eee eee 1 |" Shoémaker2) . See ee eee eee 1 
Housekeepers. 222 2s 2 ea eee eee 1°'| *Stenographerses: sae ase ee ee eee eee 8 
Fiousemaid 22ate oes Beet eee ee ye ae eS 1:| Students ese see eee ree eee 36 
HOUSCW1VeS 225222 Sees 2Gs see oe ee oes 65. | Superintendent’? cf schoolessss ease aera anes ie 
Fouserwor kat homemesess = a. ae eee eee 25 | Teacheys 2 cece cae secs a ee ee ee 
Laundress.<< = se ee as 2 eee peed eee eee 1.) Lelephonedinem ene Saeeee ae e ee 2 
GW eT eet een en roe nee > aed ae eee ee 1 | Telephone manager-_-_---_- Ree Nest ele Bee TOS Saez 1 
imoty pelo peratorsaes sss a eee 2 | Tellers... eae Se Re ere eee ea ool 
Meachinists = 22 haere eee os ee pet Saiey ee ae eeg 5.) Traveling salesmen! 2.cos =: saa ee eres eee 5 























Tue Nortu Carorina SANATORIUM 13 
COUNTIES FROM WHICH 319 PATIENTS CAME. 

Ein anhGdtoeee= sed. 2. ee Pi eeborsyihee- tacos ee oso 1)! Pasquotankio: ee eee 5 
IATISO TI Seems ou eC. Soe OREG astOnmeae ede se 2 eee te Br Pender So oo ee ee ee 1 
IB CatikOr bers ee ee PH Were beth ania Sere gees epg ate ee eee Srp Persone: seo 2 
IB OLiiewer seen sac Ske at ZS OMe Guth EON Gs eee ees ee ee eee eee DOSE PUL Gua sh 5 oan ee ne ee 7 
BIS cies a eS ASAT Lalit acd 2 ee a eee ke eee ished atteRave tol hoy seer eames Semen Fe: ce 1 
IBiumeOMmpeseseens ie ee ee SS Daleiiarne, tose ee oes cess sleet Gaishichimonclsos2c. a5 ween ane 3 
AS Ue Seer eed Ho NGS Et Bist alevevs leaskayate pe eee = Ree 5a Lipo besonse ue ea one ae 13 
Oaharnugeeessies feo. ee Salailertiord=.2-325s ee 4st oe ee Sy al IReovel aod AN ee ee 1 
al cdwellaueces see wai ee oe {ElPE Oke sesee cosas ae melee ioe LM PLUO Wa. 1t eer eee ec ete ae en 8 
Wamcdenweree eset er Sa es ees I SIBELycdete rs. a er eee RIPECthOnionc. scesm a xan: see meen 1 
@artere tase es eee DUP LECOCLI: oni os eee ate 8 host, AS DAB OSOELe hs ed eee aS 8 
Cac wells ieee see fe Zale) ONS LOR mesa Pee ee et eee ARIES COL a1 Ge serpin an eee eee 7; 
@avawilasee sae saeco eee 2b. Wiglhecssten soe: we art sk alas aha teh EY Vise ots oe a by ts en Ona 8 
Clavelandeet sss se2sac0. ee Ga peLienGi Tee peat e Leet AL Dab O KES ues teen ty 5h al a ewe lee 2 
Wolamiusse- ses. ae eke Sa RUAN CON eens sees eee NL OLS Le Sic eae g Sree = eae oe 6 
(Omni Gin a SRieMiartinwss (sn see eons ee, AS Wiel UY os a fee ain ye 1 
@umberlandes.22s52222.--.255 (qlaMieckioniurgecss = 52945" sms A SHU nd OL Screens oe as cee Se ee 2 
(Chie atelke OS ae Ze OUtTETOMEer yee ta eee woe OIG ances sehaae be uk ey Papers 4 
Wavicisoimes secon See tl ASIEN. COTES ue eta ee haa eee LUNE Kec OPE ens 5 teem PEEL 16 
JDDG eS ASN Sh Goes ase: aaa Stes eee ee DAW asin ot Ons ase pees ani 1 
HO cra ume ee eee  s AW NG Wall anovVer: asaee ease aes RIA AV Gone oh ors Se A ee 3 
Dor nen, 2 aa a eee ee bale Northamp tones sea Tid Walgo ive erase Se 7 eee 9 
Wa Sec OMCs t sees sa See Jue le ORAL eee tee ease gee SRIMY AG ee eee eo. cee ne 3 

TOWNS FROM WHICH 3219 PATIENTS CAME. 
JN Geri Wan. 2 Ses ae ee imeConnelly Springs se ISG Old. Sey) ae eee 1 
NNR GL.. ae ee ee Ne OO DET ies secur eh aaa Coens BFK o) eleleyehney 2 i a ae Soe 2, 
All bemarletesee teases sense. bReCorneliuse cess soles. oe RN Crge Oi oS oe LL 5 SY Fi eat 2 
ATIC OM Valle meee se ay ee ae ee [eC recdinoor-seseesea ss. eee IiGreensborosesss2= ese toe 10 
LSU Les e 28 AUS eEs Seiten ats. by oe ee eG uGriinek saecacawsocu sk = ok oe ti. UGreenvilless2-. ug ae ee 3 
FASE DOO eases eee eee IPG viclese cess cen eres IG ailiordaesein one eeobenue seein I 
ASH ayallatsssstceaa) ures 2 ARP Del wa veree asta se oe el Le 15 pELalifaxe op. 3a ee eee te 1 
ASTOR se ee ce Set See Lk Wie DVU RE Rt ee ee See Ee eer Opie alSbOro soa. 22a een eae rere 1 
Acuilesiye tayo. eo be 8 ee ee (ge Dundarra cheats sues oe ase 17 eileen ss. oes «eee Se 1 
JESS SAT, iene os Mba RS le Se Tee nt eee ee ee ee Oe We bape Dees cue 2 
i RYO OHH Og Hae i a Lee uirinaiiet sass eee tee ee te AS eam ptOnvil les: se eee 1 
Bellarthureeee os el ee. (iastel ir baja soe eee Tle aissell srry a ile Woh © ewe 1 
Blacks Mountalm=s22-22.2228.52 (eeiidoewalcdis semes sees Oe ee TSP LV ely Ile See seme Ste yak ee ee ian 1 
RlademborOssss 0-2 see eee ea imimetlizeabethyCit yess: ee eee SRI ELCnCersO Dee. Sao eee ena 3 
Alan Cleese le ee | lee lize Detncowaleen sae sees balsa Hickoryase. S2 so eee oe 1 
BOStaMN all eee ee ee ee (Pie ikinserewerei tases oon shige. ae alec cdeniteesea == Min 2A Ser naies 1 
ECL eCO nme ee SL Lai Binitel de epee er tee ae IPE htPouit== 2 ae eee ones 6 
Broawiesumimnitese oe] see ee 1TaiMEGV.Crettss aoe =e mere eee 2 eee Le ebtic helo wers sss = eee 1 
Buriineton sees so. 2 GRE Veroreen saat ees eee eee IZ Hobeood anes c= ue see oer 1 
(CAI) 25. be Se (Sie towah= eee. sae Soe eae Teh oper Mills! ae eee oo eee 1 
(CS NEG Sik a Lal alpiel delc 26 ueetan io en esse Pa NCS tel Pailtoe, cot eae eee 1 
@andoree ess) a Fee [eB ainim O Gass 2 see soa ee se reali eeze\ Re Wee peek RO Ae eae 1 
(Cine cae) ae ne 2 a Taig h ain Oaks-22sss00ce ee. ons Poa Ale Weaversniallll Cee es BE Ae 1 
(COR YS TEE Sa cle ee a leiel army ileac es eee. ae ee 2A LONeCSDOTOrte: ae an see ere 1] 
Cagh acd 4s V1) Eee a ee Sri bayetcevil lessee sees eee Pale JONES Vil leme terest eee Hea 1 
@harlotto eee eee Iie orestiCity sss eee eS Ie WSO nee. 2 sae ce ae 1 
Gherry.villessn ee. (Aeon a1 ser eee ee altel 8 AED Shay SRO Se eae oats Se Ra Be 1 
(hocawinity =o. . sa eee r= fopbour. Oaks. =--eee 285.22 Eh Wellord 2s wu Steen eee Sees 1 
CTAr tO tee been weeees ee eee PE CCIMONL 2 te ewacuee, so aco8 Lae NOT Io cosaae k(n ane sae eee ee 1 
(os CE get 0 Si a deo duay ODringsses-. =. es. 1 WeKGinston wes ees sn oe eee ee 3 
Glinton= ea ee AW KG yA havent: Ws, <7 ee an Ga oe ee hel SGU ohh e yume Su eh a Be 1 
Cofield sere eee ae ed ae LibGibsona sacs 5 feet eee. Ie DaGranpetee= 26a eee 9 
GOnCOLG ste ee eee eee, (aie Ghidenteenss eteee se co eee ae (ae liaurel sels lee oe eee eee 2 








14 AnnuaL Report, 1917 


TOWNS FROM WHICH 319 PATIENTS CAME—Conrtinvuep. 





























Ja urin DUT 2ane- eee Suimelote Mountain: === LiiSpencer! a2 eee 2 
Ven oltice: 2° 5.7 2 ee at ee 1 Pinnacles. &: 22345 5-.e—=e ee IMS pring, bHopedsee-sssce=s=— === 2 
Mex LON ss see eee Sue bly mouth eStedmana--. teen aos. eee 1 
Tnthne ton tee se eer eee O41) Polkton 82... 22. oe eee YiiimotatesVillessee sae eee see eee 2 
im colin ores ee nee 1 Powells 2 omt2.2 see ee Iisovokesdalete- soe see ee oes 1 
Litidens) oi ss o3 8 teens 15] Princeton] 2-2 =e IMB SSt Pau lst Sao = ee 2 
Tsucamia ics em oes se Oe ee eee 12) (Proctorvalles es) == ik |b foto iiGk so eee 1 
umibertons === eee S| (Raleight20.. TAME ar b Oro ees se a eee 1 
MccIN Ge aiyzillll @erene ee en (Se leked: Shrines. === Davey lors Vill (ems serene = ae eee 1 
MeHarlantes.22=e. = ee aeeaees (RitRoanoke: hiapids === 1a Wie. COsset = eee ee ee ene 1 
Max tones pete snes. aon aero 1 "Roberson villesa === eee DIN EWadesborOsss-2220 ee eee aa 1 
Mavyodane en a eases 1} Rock Creek 3e2= sees lay Wakefield. 2.22.04. oo aoe mg 
Monroe’ eit serene eee 2)\ Rocktord 22222 e ae oe 1) Walnut Cover... @ ose. see 1 
Moores lle see a ee 2) Rockingcham=s 59a PW arsaiwet. can es re oe eee 4 
Morehead: Cit yaa = Ie Rocky. Mounts] =a He Wendellc= ses eee a. = ame 1 
Morea nt One ee a= ae ee eee 2: || FROsSeM ary. 2 ile Winitakerg ==. sa 72 Sse eee 1 
Morrisval locke sees = =e eres 21 Rowland. LWAWillard’ 22022" .< os. econ 1 
Mom CRAY 20 emer neys Sener 24\-Roxobélu::... =. Pa RWilliaimns tones eee 2 
Mount Giles da === === ae 3 (Roxboro. OM mWralttmin cone sae ee ee 3 
INeuse2teN ooo. Seer 1 Salis bur yee. Ou dWilsOne2c eee ee aera 5 
New Berns: sete. 5° eee 2.\ Sanford{..... TS) 8Windsore 2322. eee eee 1 
Nilsonesc tenes Pe ole eee le Scotland Necks ==)=====—== === 2 a Winston-oa lemmas) = sae ae 10 
INDIA OOC oe ce sense 5 eee 3. Shelby 22... 32 Ame Wintervilless sss == ee eee 1 
Okeencemees- =. see ee Ta Simms 5 2) 0S ee 2 SWintone-. ss ee eee eee 1 
Oxtoncd Sette arene oo ee ees 2 com thiiel dz lss5 ses see 2a IOUS Vill lowe eee eee 1 
Platitowlesss<2e=eeeee eo ee J South=Millsses == =see eee DiPZebulon- 5 = see eee 1 
Southmont..esss..======———aee 1 ; 

OUTSIDE PATIENTS EXAMINED FOR DIAGNOSIS AND CONSULTATION 
December. 2. O24 5 eee eee 2A prils 29) 2 SO SA oust ee ew ee ee eee 57 
JANUARY oo oe cet ee Or mae 83°) Mayo. iot* 2223 oe ee GiMitSeptemberse see eee ee ee 66 
Hebrulary as 22ers eee 34+) (JUNE ase 0 Se AZ 7 Octoberse eee ne eee 36 
Mier Cy art ea tie ee 2 30 Ai ulys sso, oo ATM mINovernberssss=seee ae eee 67 

Totalicice. 23 cue seteeeh oleae eda ec nn oe Sc ee ern tre et 536 














15 


Tue Norru CaroLtina SANATORIUM 









































uTToIEqnT, YIM 






































UlNoIeqNy, NOTA 








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AnnvuaL Report, 1917 


co 
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‘916. ‘I UHAWAOAC OL SNOIAGUd WOIYOLVNVS AHL WOU GHOUVHOSIG SLNAILVd GHONVAGYV UVa TIV AO NOILIGNOO LINaSaud 


18 AnnuaL Report, 1917 


ANNUAL TABULATED ITEMS OF EXTENSION WORK 
NortH CAROLINA SANATORIUM, SANATORIUM, N. C., FOR THE YEAR 1917 


Letters and postals recéived... 7.23 fac «ae pies oes eee 20,607 
Letters written: 

Individual .5 co. 6 sere 5 we 00 Ge ae 0 ee 20,194 

Multigraph: 2. sees eae ee ee Peete 40,501 

TOtal cicq cscs wou been se boas nce ee 60,695 
Articles written (approximate number words): 

NGWSDADCI Siete eis ek cce s ale bike at ane vane ae ee ee 10,070 
Bulletin eos. es chee k's baw eee we ee 2,360 
Official*pamphlet sis i. sccikctn prelees ch nee ea eee 3,514 
Other publication ......... ya i-29% ee eee 4,700 

Total iv. ccl cs cle ss cows vce ee ole ee er 20,644 
Forms and ‘placards..prepared...... << eee ee eee ee 25 
Total number copies of. forms and placards 20.40 eee ee 16,389 
Blank cards mailed for reporting cases of tuberculosis........... 6,106 
Number cases reported this year: 

12 10a; 0 EO ss cis yo he Yo ee 1,695 
Black. saw a e's «e's ako susie y +, antcale's siete. serene nen naa ene een 113% 

Total os oe cilire ei be aie veo wile, 0 or ee aR ene 2,002 
Literature sent to reported cases... 3... .4enn OS ON eee 3,062 
Other literature .sent outs 7. occ sed oe chee ee ee 30,000 
Mailing*-cases distributed 4... .o4.< 4... ste oe ee 25 
Sputum cups- distributed = 2.7.5. ..5% cee occ 4 eee eee ee ee 102,450 
Tuberculin sent physicians for Von Pirquet diagnostic test....... 486 
Blanks for reporting result of Von Pirquet diagnostic test......... 486 
Patients’ histories written (approx. no. words, 363 histories)...... 181,500 
Envelopes addressed .5. 50. asics kee 5 oo ote Cente tee 46,280 
Address delivered: 

NUMDE? fie. epebs ere bs oo ep che ie etacal > Oa ee ae 33 

Total -Audiencte — 2 .)..050 5 Wied le ce reo nn en 4,750 
Local activities: 

Number local investigations —. ....).te ee 88 

Number conferences with local authorities.................. _ 88 
Days out of office:on official business... ca See . 84 
Sputa: REPORT OF LABORATORY WorRK 

9) 11:1 11 PL eR Pa ECE ME iy as Ro A eA 

A er wen re ERMA RAE S ir clo us one aba ae ye 
Urinalyses: | 

CHEM s = 3 bi 2a oko Wie as eas peek ovainc pete aha: ena ie ne 653 

1 LN 6: ae ee PO Per as We SADR oo my hit Ago ono A ate 653 
Pletiral uid 7), sti. s = hs cee Reelin ie sieges one em ee aba 
Spinal fuld bv ..ah. 0c os semegec eles. w ace op gcee Peete eet ee 2 
WOGCOS 3 Fe ss Siege te ites 6, chy « cece ke ee 4 RAISE a co Sh 18 
BlOOd Fea iss Pesto he ope'w oye 0% oRUee a) ace cide Ee ae ne ene ee aby 
Gastric heecty dsia's clap ale sl c/s eRee Beceet hes cs nts A emer te ats a ers A 6 

Total) 480k 4% 8540s he | Me a a 519. 


Totalinumber cases examined for diagnosis. .9....00. sae eee 536 


FINANCIAL STATEMENT 


TRIAL BALANCE, DECEMBER 1, 1917 


Surplus ee eee ee cece eve un 5 ilo, © artless ie oc4 02d oe ¥ Fic 
Me COM PETG rete fete ate ors sh seo tgs 6-6. b 4 Siete Pac cecns wide dss » L1,763.34 
Pemecstateeand NOSpital DUIIGINGS..... 6... 60s ce bee wae 109,927.43 
eee IS EIATL OG” 95, 22:05. ok bok dees © sd.es «4 6 oes Peay A 2,267.54 
Dining hall and kitchen, furniture and fixtures....... 3,647.80 
PTO sre meTUrNPUrerand fIXtULTeS.. 6... cw ee ete eee. 3,022.05 
Nurses; Home; furniture and fixtures..............0. 444,75. 
Superintendent’s residence, furniture and fixtures.... 1,448.75 
PIRI ALC eeet eee. 5 5c clara s, «sti s'o ald.a' Weta o.oo is'sie's ¥ ace os 286.00 
le remmetrnCiinery ANG tOOIS:.. «... o.0:60 0.00 eo es iexcecdiegedatere 1,448.80 
Wana EN es CCN er thao igh e %) o.a\ls oe 40% 2 ithe. cusaee. oi ¥.s,0 Sivce's.* 1,600.00 
Ser CeO COCK Marc). fc. ede cs we ee ve beh ow ce ee webs 5,765.00 
RIV ATIVIGSIIVED . fe. cc cic ce ess ot ecw oe taint nen 760.91 
PUNT aCMMEIT OCU ETT c's ce gs cea co sidce eves sale esl aeis + 6 6m ssecelns 6,024.00 
ME OMI INCOUICINGS ©... 5 ccc ec ce sec ewoenteccesacs 13o.00 
TOL et cag) SMA ORCS = 6. 55 ie a aS Sal aoe 
Farm 22 901.12 ee ieee ra 520.00 
eMC CLT SOMO RG 8G. ws oe fost heh se nee bee sie ware 1,402.00 
ee eet EC 2) oe ss eee es oo eee os 2,204.15 
Ome rae MeOCHOOL |. ...6 0 ccd se eacoscsadeceapaes 93.50 
In OSG OT LIM YO CNE) 000s ag ial See ea 
loPoe GY TRONS 5 oad 5 ae rare 
IN@ERS 255 ¢A6 526 86r See ee eae 728.00 
emt IT CEU 2S Bie ks aes clad. 6 obs tug ssue ois 118.20 
migirove Dooke donated) ). 0... csi ee ele he eee a 125.00 
Office supplies and expenses (business).............. 324.16 
Office supplies and expenses (extension)............... 239.75 
Laboratory and medical office equipment............. 703.08 
Stenographers’ building, furnishings ................ 369.65 
WatcoecCOUroments (DUSINESS) Use. s wetes ce ccs eee aes 502.75 
Mirecescauipment (extension) ....4.. 6.6. c cee ne Feces 2,444.75 
Hower heat, light, water, retrig.,. and plbg:.......... 29,464.49 
MR NOME RSV GLOTIL UGS vad ote ccess stele Terai vo’ slag ce cena stay Oren eee are 1,152.42 
Seams yStenl ANOOISPOSAL DIAN ae. aoe ecw ce were ew ore 4,903.88 
Meet ALU a Ue Oa Vina ets cc are ea ores ieee ete ev esieee 775.00 
ey PO Re, ee NN mse Ai ose ba BES 2,445.84 


$201,642.50 


2.60 
36.61 


$201,681.71 $201,681.71 


20 Annual Report, 1917 


PERMANENT IMPROVEMENTS 


Disbursements, December 1, 1916, to November 30, 1917 


Bulldings) wave eee ee 217 2 oN CWS es antler te ene $ 51.36 
Equipment: 217 3: “Improvementsa7.. se ae 2,986.74 
Furniture and fixtures. ..217 5 Dining-room and kitchen. Vilas ts: 
Domestic op.: i218 11), Telephones san io. 3 eee 77.08 
218° 12 Gate eee aa eee eee $2.82 

218 13 BP OWeViee neat toes © ae ere 4,025.47 

219 “14 bie eee eee ner €2.42 

219°: 15% Water erase eon se 14,955.05 

219 16 Retrigerationo-... cies Ase 11.70 

220 an WLAN OSCADC? saree. cn eee ors 20.80 

2200's 24° SSGWCLS eee eter er coteamc 4,903.88 

' $ 27,244.70 


EXTENSION FuNpD 


Disbursements, December 1, 1916, to November 30, 1917 


TWIXOCTIUI VG ge: cit ck otis eer ie cee 222 26° “PaLaALLOs. peewee eee ta ae uP Lee Oke 
222 27 Traveling expense ....... 891.68 

Offices. FS Wher Wea ae ete 222° 28 Furniture and fixtures.... 705.99 
223 29 Books and stationery..... 679.20 

regis 30° - Stamps eee ee eee 760.03 

223 31 -Miscellancous 25 47-0. ® 606.64 

$.. 7,605.30 


MAINTENANCE APPROPRIATION 


Disbursements, December 1, 1916, to November 30, 1917 


Hospital: 225 33° Medica lene. ete 4,110.00 
PalaAries way seco ene eee et oe 225 34. ~ HXeOCUtin eG aoe neil ore 2,303.00 

225 35 Nurses and attendants.... 2,445.29 

226 > 36> Cookssandsservants ce 5 ODORS. 

226 37 Traveling expense ....... 46.40 

SUD plies eee eat oes 226 38. Bedding and Jinen=.2 a6: T9393 

227 41 - Miscellaneous ye 4.2 eeeer 270.11 

ProvVisSious Sena: oes 221-42 Meats ee egee eee 6 eee 134.81 

227 43° -ButtOly ote see 255.00 

228 45 Vegetables and fruits..... 207.25 

228 ~46 Groceries Haste ate eee: 605.55 

HGUIDMent sania eee 228 ~ 49> -Instrumentsa.ee eae eee 78.48 

OTL CC ae cee enn cee ee 229 D1 OQuipmient (eee eer eee 25 
Domestic op.: 229 HS StAM DS tec S oto 6.50 
Power and heat ...... 22% 229 5D: JUabOr..:: « weaken et eae 939.50 

2:30 56. Supplies)...4.4..4 5) eee 1,795.52 

230: 57 Miscellaneous 7.57... e) 125.05 

Light yeeee -ccok .. Soe 230°. 58. Labor 22s. tik ent eee 120.00 
Waters orate vase es eee 23160 «68, > Labor -an5 ce ee 185.00 


201 66- Supplies...42... 2 ee eee 36.12 


Tue Nortru CaroLtiIna SANATORIUM 


eres aDl0S:. And: + we ckk 


op Wy 6 0, 16) 016 1e 0 0,6 6 6 @ 6 es,0 


oy a) od 6) @_ 0) e) 0,6, 0-0) 6, 6, 6. 8) ©. 0 


Miscellaneous: 


231 
232 
232 
232 
233 
233 
233 
234 
234 
234 
235 
235 
235 
236 
236 


68 
72 
74 
fog 
80 
81 
82 
83 
85 
88 
91 
92 
95 
99 
102 


supplies 

Buildings 
Machinery and tools...... 
Seeds and fertilizer...... 
Feed 

Labor 
Miscellaneous 
Live-stock 
Feed 


ose ee ee ee oO ow we ew 


oes eee ere eee ese eos 


o 0 6 6 © 0) © 0 0 © © 6 6 ©, 0 0 0 6 se 
® © be € oe oe 6 0) 6 6 6 6 8 e 8 

© (eh erie)l ey 6) 6. eyes: « 
© 68 8) 6) 0) 8 © & 6) e6 6 (0. 8 
S10) 6| 6) 6) @ 9,016 @ & 8) 0) 18) 6 0 wi eeu 6 
Shelee sine) o) ale 6) ‘sive @ (0) 6 6) 48 i8)16) 6 


Ce 


Transfer and drayage..... 
Supteres. turn. and ix s: 


21 


120.00 
180.090 
36.13 
300.80 
952.83 
392.05 
1,040.53 
2,274.47 
48.79 
2,418.63 
349.50 
1047094 
44.00 
223.62 
903.81 


$ 30,142.60 


MAINTENANCE—PATIENTS’ FUND. 


Disbursements, December 1, 1916, to November 30, 1917 


Hospital: 


Salaries 


Supplies 


Provisions 


Domestic op 


eerste eee eee eee 


oer oe eo ee we ewe wee 


os eee eo ee ee eee ee ve 


Power and heat. } Ngee 


Refrigeration 


oeoee eee ee evn eeer ee oe 


oer oer eee ee ee eo wo wo oO 


Plumbing and §...%...2... 


oor eee eee ee 


240 
240 
240 
241 
241 
241 
242 
242 
242 
243 
243 
243 
244 
244 
244 
245 
245 
245 
246 
246 
246 
247 
247 
247 
248 
248 
248 
249 
249 
249 


129 
130 
132 
133 
134 
135 
136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
146 
147 
148 
149 
150 
151 
152 
153 
156 
157 
158 
160 
163 
164 
168 


Nurses and attendants... .$ 
Gooksvand* Servants )25..0.-. 

Bedding and linen........ 

Crockery and silver...... 

Drugs and medicines..... 

Miscellaneous 
Meats 
Butter 
Hge2s 

Vegetables and fruits..... 
Groceries 
Miscellaneous 
Furniture and fixtures.... 
Instruments 

Miscellaneous 
Equipment 
Stationery and books..... 
Stamps 
Miscellaneous 
Labor 
Supplies 
Miscellaneous 
Labor 
Supplies 
Miscellaneous 
Labor 
Equipment 
Supplies 
Equipment 
Supplies 
Supplies 


oo eee ee eo ee we 


ee Ke. (e) #0) Ore) 0) 0 0 n'@ 0.10! “6: 6)" 6Ke 


% a 8) (6 0,6 © 6 © 1 16 6,8 oe 16) 6) 0. 


@ e) 0) e:feirey'e \e. ©. 8 6 4 @ © 0.0 se 9) «6 


o1e) 0) 0, 6.1.6. (0/16) 19-0! ‘eo, 60) ‘e: 


oe ee eee eo ow 


oer ee ee ewe ee ee ee 


60 6 \¢ © 9 9 6 10 2 01 9.6 0 a ta 


ooo eee ee se eo 


oc eo eee wee eee ee eee ee 


oer eer eee eee eee eve 


w. 406" Bw "el 6) /6' “6 "6! 0: 16, (6: 8) 0) O10) 0 2. 


wip: 0! 0 16; 0) 'e. @).9 Olle: 0) 6, (0, 0): 0.6) 


oo eee ee ee wo oo 


eee ee ee ew ee we eee ew ee 


O @ © 1 O56; 0.9 € 66) 0: 6 6 


©. @! ,© 10) @) e101 Xe) 0) 6.) 0) 6, 16>. 06: 16 


#40 (OP) ee 0) 0,0) 6 lee. 6 a a Le 


14.20 
83.63 

* 478.03 
725.21 
1,001.30 
4,366.01 
5,974.58 
1,930.02 
5,819.02 
1,987.08 
5,401.24 
2,427.62 
421.86 
124.48 
85.42 


161.20 


292 Annvuau Report, 1917 





FYAYINS © oo5.: ceo hae tosenets eketetetele 250° 170 @Buildings eye ree 
250. 172.) Repairs to buildings ss... 2 
251.0174. “Machinery andetoots ee 
251 175 Seeds and fertilizers...... 
251° 176 Yleedemeriet asin te ce bisects 
252° 177 <Weabouerees cerca 
252 "179 “Miscellaneous 2-5 fa ee 
Dairy eek owe cee cee or 252 181 Rep. to bldgs. and silos.. 
258- CLSZ sMIVEVetSEOC Karen a. r hee re eeeee ne 
253° “L883 sAHAXCUTCS Boeke eacc eee dete 
253° “1842 $SUpplees ees eacgtysvareie ct ei 
254 LSD MECC OR re fetes cunts, oocpameyics w eke ge 
254°" L8G Ma DOr cos Seat se eee 
Miscellaneous: 254 190 Training School, books... 
255.191) sMWlessaces “and. tollse-... . 
255 192) aun diy eee eee 
255, 193, “Drans: and drayage.. ...- 
256° ~ 196 SSRerunG sees teach > eral: 
256 197 Freight and express:..... 
256 198. “Hoe Sic ee ee 
257 199° “handsea pease eraks ote 
257. 200 Boller Non 2ce ee caus e- 
257 201: GCanninee secre eiresites 
STATEMENT SHOWING DISPOSITION OF FunDS, 1916-17 
PERMANENT IMPROVEMENT FUND 
ADPPropriation saved ocrisietehe caters bobioele © eee tele eee ne eee 
Transferred from Extension Fund (loan)2.2........- Ree elena terse 
Expenditures as per disbursement statement....................- 
MAINTENANCE FUND 
ADPLOPTiatioN® . 3. we Feces. oc ce cee cn ook es © euREE I ene ene ee ae ee renee 
Transferred from’ Extension Fund” (loam)ee a eee 
Expenditures as per disbursement: statements ee ere 
EXTENSION FUND 
APPropriation. © P.csiWeia Pek oe Rok ac es See ere ete ee ee 
Loaned ‘to PéermanentsImp. Mund /.2.. 2a ee eee $2,244.70 
Loaned to: Maintenance Fund=.. «...5 2.0 ee eee 142.60 
Expenditures as per disbursement statement......... $7,605.30 
Balance: Page WTrust Company «..c0rst. ce eee eee 7.40 
Disbursements, Maintenance Appropriation Fund...... ee eee 
Disbursements; Maintenance Patients Funda... ..0. eee 
Total, 5c ee de, ws occ bc ReRee te ete ak ee ee 


Amount actually expended 


eWia (err ease e761 a6: 6)"e 


Totale number hospitaladays ema ese. 
Average cost each patient per day... 


© (aye! (ee) "0. fee 0. 6 le. 'o .0) Re (e's 0) 6) .¢ 0) ee emene 


1) (O46) eo Ye! 0! Fo Odi ce "0, fe) Fe. Pe te, fe Fete: tee (one, Shenae menrs 


© (07 @ ee ere fe 6 6. 6 ¢ © € 6's © ©) emetic. ale) salae 


oe © (ee 0 “@ @ © ‘e @ fe %e) 10, "> ‘ei fei fo re: @ Sy eles @ salte! 


1,225.32 
147.26 
251.66 

34.83 
21.48 
35.77 
169.27 
2,124.03 
45.68 
27.44 
390.31 

3,342.46 

1,517.24 
622.50 


$ 49,821.88 


$ 25,000.00 


2,244.70 


$ 27,244.70 


$ 30,000.00 


142.60 


$ 30,142.60 


$ 10,000.00 


2,387.30 


$ 67,612.70 


7,612.70 


$ 30,142.60 
49,821.88 
$ 79,964.48 


622.50 


$ 79,341.98 


44,255 
$1.80 


Tue Norru Carotina SANATORIUM 


23 


NorTH CAROLINA SANATORIUM FOR THE TREATMENT OF TUBERCULOSIS, 


SANATORIUM, N. C. 


COMPARATIVE BALANCE SHEETS 


Assets 
Heal estate and hospital buildings................... $106,808.85 
Me rE LE TIM oy) 5) <hee sic cw so vod es oak e seaweeds 11,283.38 
2S AEG! SINGS SB See a oe ar 2,232.71 
PI DeetATIOM: Has kee ek PEPE Me eh a TENS Geo 1,108.21 
POM DVATIU 0... 0. coe kok esi ei vielde wile eevee 645.17 
Secretion and power plant. :.....6. 26sec ces ce ees 3,569.12 
eA ITED cs 5c) aya tey arcia revere ete: ecovdvetelave-s se ab ae 2,239.80 
Oe et PIA Me UDINE Pag a sriaviss's) 5: @) oitnl be ©) clo! rere 0h deb seus a ee eh ecece's 1,075.34 
Power, heat, light, water, refrigerating and plmbg.... 
Pemeteeveteiieand disposal plant..........5.. 00. cee ee 
Inventories: 
Furniture and fixtures: 
Merman emmnliee ect KALCHION 0b. ece crocs ecco dae ecw oes 3,642.90 
WOOOSS ONS Ey) ce uh sig GUA ESI el oo low 
UN ie DI el 0, eee cs es csc el anoiv con es chanerdy oi breae caters a 501.45 
Pe TIM LeUULCNL. S STESIC ENCE 2.0.0. ccc ec ecccene e seep wreree es 646.40 
OS ETERS OIG are ee 430.02 
SS SSO “eee =e Rs 1,643.49 
mee aay TONY MEL PECL ITD hy oc 5c ceca oie joe oon '0 in os 0s 00 ee 8 145.70 
OUELTON sone G ts ties er 326.73 
Jhesin Syndr eG iinet 2,566.60 
re ALO ey ert STN CUICA] .OLICO... oo. ois e neat iets eines oe 669.83 
oS en UND Sc) 2 rr 
eae ILC TLITGL Vm TICl: LOQIG. «0.0/5. :0 sede cete ere ee eters aie ee 474.15 
MORO DAPE MTU STAY, lic costa cee clo wis edie eres v's oe 285.00 
ee acs to fa. Ne va deiyerse te ieraberecaite ayes cateleos 125.00 
2) ETA YG 0 20501 0 0 ht £18:20 
Supplies: 
Rem NN Pe Nt ea oy coher evs, ote. (Ob ofS Pace Ors di wis he so sie 1,866.81 
Re EEOICOC OCLC: ee eye ir a es auc ie ts ote! pcs vs foal yg dhown be MUohoke 484.06 
Br el ROO LUN CLG. 0 07: trntgctcs. oc ahs tare te tes Yo Ri elles oitore lade 2,489.60 
ER COU techn oe has iss oe eaten ahehe Oietvaphe Sole Jo, toe Woate yw) 0 eetenshe) oe 648.58 
ae nn he ee Seated coder See wide wi sta b 806 85.00 
IMIR OTIC Cam ricci Bsceclictia doe Slate's Vater ise: wink ol Chodes erat er ae 98.35 
Deer COTE COs eta g olor oa sickt gla chelate a tw scOher's eeleiete Sis 212.50 
PCE ITN SCHOOL iy aie as. cae sin ulate al a eetwiieie!« 85.30 
Drugs PET CIMEVVECO CUT OS tk feces Sok corte Cilale. aie h aay a: Slanehar ee 
Live-stock: 
eerenuae Et TIVO ae re cee cryecs a/st a, ovis, sv ecs! > visto yale oles oo 0's a « 2,890.00 
- Farm animals I ie ee dane ore a Pena a alate ses! ose ig, 1,710.00 
ys Pe elena the aiiphatiav'e «2 a Whe ios a ehecae 9) 8146 33 1,783.50 
Rees | eee Pe FF rE Sseiis ae aval e sca e Sie ec» eee. s ss 687.74 
PIPCTOASO MING ASSCLGe akc. tre Hs» ole aces Wis oe, woe ete er eee Oe eran erate 


*See P. H. L. W. R. & P. 








Dees LI916, Dee Liga 
$109,927.43 


11,763.34 
2,267.54 


1,152.42 
29,464.49 
4,903.88 


3,647.80 
3,922.05 
444.75 
1,448.75 
502.75 
2,444.75 
369.65 
286.00 
6,024.00 
703.08 
760.91 
1,448.80 
775.00 
125.00 
118.20 


3,125.17 
520.00 
1,402.00 
2,294.15 
* 
324.16 
239.75 
93.50 
133.55 


5,765.00 
1,600.00 
1,728.00 
2,445.84 


$159,072.52 $201,681.71 


42,609.19 


24 ANNUAL Report, 1917 


Liabilities and Surplus 
DCCrI,1I16 DEC. ols 


Page. Trust Company, overdratt. 4... oe eee $ 10.00 $ 2.60 
Bank of: Hoke “2 .ge sais ce ek 6 ue ee 96.39 36.61 
Surplus <6. cece ce oe cece oe ee oa eee eee 158,966.13 201,642.50 


$159,072.52 $201,681.71 


CASH REPORT OF THE NORTH CAROLINA SANATORIUM, YEAR ENDING 
NOVEMBER 30, 1917 
State appropriations: 


Permanent AMProvement.. 2. 2.1cee ee nee $ 25,000.00 
Extension? 220.25. sce cewek ee eee 10,000.00 
Maintenance. <:.. 5 6.4 ssp kes ae Re eee 30,000.00 
Page Trust Company, overdrait. (ec eee 2.60 
Bank of Hoke, overdrait..-..... eee eee 96.39 $ 65,039.21 
Patients’ maintenance: 
Patients’ board and ‘treatment... see eee $ 46,224.10 
AUO> os Ain Wis bs ea a eae © oe se 0 ee 403.33 
LaAUNGTY “Ai eles cs ah ooo ee oe eee 1,111.69 
Hospital supplies ...:...005 «cee pee 1,699.26 
Telephone ‘and telegraph..........eeeneee 57.55 
Postoffices (rent) ..0s%0. sneha see eee 22.50 
Harms. 66s fee Te whan hoes GE sb 8 eRe 309.08 
Dairy. sche: re er is Oe ee 252.95 
Hxaminations 2.2.6.0. ees oes ¢ on Pe eee 75.00 
PLrOVISIONS® s:6.% a se ed awe oe sa 2a ey ee Spy aya Pe 
Power, heat, Ct... ..c< dae ss se 5 a ee eee 684.08 
MAIATICS Bh Asbo pave ds seen bate se ele 7.20 
ELOZS eee ds Gece deses 102 ee 200.00 
Cash on hand December 1, 1916.................. 687.74 


$ 52,327.50 


Less: 
Cash on hand December 1, 1917...... $2,445.84 
Page ‘rust Co., overdralt..- 2k eee 10.00 
Bank ot Hoke; overdratt.. «0.24.0 ee 96.39 2,DD2.20 49,775.27 | 


Expenditures as per disbursement sheet...................ecceee $114,814.48 


Tur NortuH CaroLtina SANATORIUM 25 


NUMBER OF PATIENTS SUPPORTED BY AGENCIES OTHER THAN SELF, AND NAME OF 
ORGANIZATION AND AMOUNT PAID, 1917 


Number 
Patients Amount 
Name of Club or Organization Supported Paid 

emerecm ie raleIen, N.C cc ce we eee renee 2 $ 191.00 
Pasquotank County, Elizabeth City, N. C.......... eon 2 151.00 
Proximity ite. Co., Greensboro, N. C.......0..00006. 1 198.00 
emerereEstONe OCHICAZO, Ills... kee cee eee e eens i 146.00 
Pumeompe County, asheville, N. C...... ccc. s eevee ee 1 243.00 
Associated Charities, Winston-Salem, N. C........... i 121.00 
PuuioreOorcer. Winston salem, N.-C........0e.0eae ees 2 75.00 
Jefferson Standard Life ins. 'Co., Greensboro, N. C.... 2 302.00 
Pyvomalns Clubs Greensporo, N. C..... 2... ccc eens 3 563.00 
Moro Omeouliyeyyinston-salem,’N. C........00.00> ut 122.00 
massociated Charities, Goldsboro, N..C.............06- 2 532.00 
(ONCE CPR ee SETS Wy Wr RS © 1 62.00 
Miovemotevicx<tOl Via xton, N. GO... occ cece ee ce eee 1 51.00 
mesociated Charities, New Bern, N. C.............05: 1 30.00 
Sunday School, First Pres. Church, Raleigh, N. C..... 1 92.00 
British Government, Wilmington, N. C. (consulate).. 1 346.00 
Putisiiuperculosis society, Concord, N. C........+... 1 62.00 
PrecuoOn steOronanage, Raleigh, N.C... csc. eee eee ees 1 214.00 
Vick Chemical Company, Greensboro, N. C........... 1 91.00 
Presbyterian Church, Kinston, N. C........ ee ey ede ce 5% 1 182.00 


“GU, alate) Saovene SRA cn cere Saco se PO Paes ear ae 27 $3,754.00 


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FIFTH ANNUAL REPORT 


OF THE 


North Carolina Sanatorium for the 
Treatment of Tuberculosis 


UNDER CONTROL OF STATE BOARD OF HEALTH 


SANATORIUM, N. CG. 


1918 





RALEIGH 
EpwaArRps & BROUGHTON PRINTING COMPANY 
STATE PRINTERS 
1919 








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NORTH CAROLINA SANATORIUM 


FOR THE TREATMENT OF TUBERCULOSIS 


(Under the control of the State Board of Health) 


PERSONNEL 

MEMBERS STATE BOARD OF HEALTH 
Dimdmliow lta WAY, President ....)o0. 6.0. ee ee we AE Waynesville 
Sere ea EIR LIME LIN WES .S) «<5 1c 0 eicpnce coe tin p.s jens we oue’e veces asus wes Raleigh 
ee EAT ee tat, cee os eviiel assets « weistavw, bs ble Dee Sea veacel Winston-Salem 
ne IE TEE ra css. vost s och + siels tise» do eele’e Stevan een cat Charlotte 
SeenON UNDERSON. . ocdcec ccs ccecvcccacsacecceucesws Statesville 
eee sani. ( H. TiAUGHINGHOUSE. ....0..000c0 eee ceawecees Greenville 
NIM DMN VV VOU) sc kale ats cs Gs sls ope cle'e se ce tsccccenaccueens Wilmington 
EE NE ete es sod cw vw Nia cad ces vd we eccecsleasaae Henderson 
NEI EMOONEP HON So. Sadie See clk pic picle ess eee deb ese es men Jacksonville 


Dr. W. S. RANKIN, Executive Secretary, Raleigh, N. C. 


RMR DCT ry seid sk oes gp soa woe eo lols es L. B. McBrayer, M.D. 
Meee mUTeriINtendent, ... 6. 2... wee ce wee eee BPePUeNECOATIN. NEED. 
eo SDE PO) TES OTE, Vi) i S. W. THompson, JR., M.D.* 
aE NT CAT re osc a oe 6 ace el ane wedie we 28,0 J LaS PRU. MD. 
Private Secretary to Superintendent............. A. W. Snow 
TES ERE eS ee Miss MAmir O’KELLY* 
EEG IS IC 5 ee ee a Miss Marrimr DUNLAP 
ee Ne He ate cai) Coa ose oi die sine eee da td Vi i. 
rem NOIR Ce aye. oie s a) ss oss ce ¢ pe 3.08 8 suslein> J. M. CLARK 
EEE A ASS let USE ine Nea og SMa O ainsi ah ks S. A. PERRY 


EXTENSION DEPARTMENT OF THE NORTH CAROLINA SANATORIUM 
FOR THE TREATMENT OF TUBERCULOSIS 


BUREAU OF TUBERCULOSIS, STATE BoARD oF HEALTH 


NCTM LTC UN oer. a 5 occa cneluicisferave 6 ays ae ae: sta ls) Mane L. B. McBrayer, M.D. 
MEST AIP ACONTCL OL, DUPCAU ok os oo clew oe ae oc ee are es P. P. McCatin, M.D. 
Oop SSG Seg lt OTE 08 Sana as | or A. W. SNow 
Be meTIRGeM A IVON |. tia. alii s/s'o aie. eve a eas eset PR FS  ic  h e AE aa Miss L. THORPE 
eM ATS Tees ce orate Ware ha ie igi eee c te lac Wie als: Sipe. lala eters oa se Miss L. LInDLY 
State Director of Public Health Nursing.......... Miss Rose M. HHRENFELD 
Director Organization and Education Among the 

STO CM pte cleo. 8 S sets baa MN os Tih Suda  Ualatat ers Ge aneréteines aha FLORENCE C. WILLIAMS 


*On overseas duty. 


4. PERSONNEL 


STATE RED CROSS SEAL COMMISSION 
Mrs. C. C. Hook, Chairman, Charlotte Mrs. D. R. LAF ar, Gastonia 


Mr. Hamitton C. JONES, Treasurer, Mrs. C. Martin, Wilmington 
Charlotte Mrs. W. N. Hutt, Raleigh 

Dr. OrHO Ross, Charlotte ; Mrs. T. D. Jones, Durham 

Mrs. G. M. Frnerr, Charlotte Dr. W. L. Dunn, Asheville 

Mrs. CHARLES R. WHITAKER, Hender- Mrs. S. H. Brown, Oxford 
sonville Cou. J. L. LupLtow, Winston-Salem 

Mrs. MARK QUINERLY, Greenville Mrs. J. L. Wermore, Arden 


Dr. L. B. McBrayer, Executive Secretary 


A. W. Snow, Assistant Secretary 


LETTER OF TRANSMITTAL 


Dr. W.S. Ranxtn, Secretary, 
State Board of Health, 
Raleigh, N.C. 


My Dear Docror:—lI hereby transmit to you, and through you to 
the State Board of Health and the Governor and General Assembly, a 
report, being the fifth annual report of the North Carolina Sanatorium 
for the Treatment of Tuberculosis for the year 1918. 

| Very respectfully yours, 
L. B. McBrayer, 
Superintendent. 





FIFTH ANNUAL REPORT 


OF 


THE NORTH CAROLINA SANATORIUM FOR THE 
TREATMENT OF TUBERCULOSIS 


UNDER CONTROL OF 


THE STATE BOARD OF HEALTH 
SANATORIUM, N.C. 


We are pleased to report progress along every line of endeavor. 


PERMANENT IMPROVEMENTS 


We have erected during 1917 and 1918 5 two- to four-room houses for serv- 
ants; a brick building with slate roof, two stories high, which is intended for 
“up-patients,” and consists of four separate flats, each flat to hold five patients, 
and each flat being entirely private as regards the other flats. This building 
has been worked out as a model for the use for which it is intended, and is 
so considered by all who have seen it, and is entirely satisfactory to us. It is 
occupied at present by our nurses. 

We have énstalled another boiler, 150 horse-power, and made the necessary 
enlargements to our boiler-house to accommodate it. We have put in a new 
eight-inch well with necessary equipment, and this well has proven very 
satisfactory to date, its maximum flow being seventy-five gallons per minute 
from a depth of two hundred and sixty-seven feet. We have built a concrete 
reservoir that holds forty thousand gallons and a stand-pipe one hundred and 
four feet high with a tank on top holding fifty thousand gallons. We have 
connected these up with six-inch water mains and extended the same size 
mains throughout the grounds where most of the large buildings are, placing 
fire plugs at convenient intervals. 

We have now under construction our cow barn, feed barn, silos, and bot- 
tling plant. One concrete silo of two hundred and forty-ton capacity has been 
completed; the cow barn with a capacity of fifty-two cows and the feed barn 
are now ready for the concrete floors. 


Loss BY FIRE 


On December the 14th, 1917, we had the misfortune to lose one of our hos- 
pital buildings, known as Brooks Hall, by fire. The fire was caused by a brick 
falling out of the chimney where it was only one brick thick and at a point 
that was not visible on caretul examination before the building was destroyed. 
The gross and net loss is shown in complete detail in our financial statement. 
Although the fire occurred at 2:30 a. m., and the ground was covered with 
ice and snow, the patients suffered no untoward effects. The patients saved 
all their belongings and helped in saving linens, furniture, etc. 


8 AnNnuAL Report, 1918 


INFLUENZA 


We were fortunate, by strict quarantine, to be able to keep influenza out of 
the Sanatorium until November 23, 1918, when it was brought in by one of the 
servants. Within a week every servant but four, every nurse but two, one of 
our stenographers, one of the medical staff, ten patients, and three members 
of the Superintendent’s family were ill with the disease. We were fortunate 
in that no deaths occurred, unless one patient, a very far advanced case that 
had been gradually growing worse and was absolutely hopeless, who died at 
this time, could be said to have died of the disease. There were thirty-two 
cases out of a population of one hundred and ninety. 

Upon request of the State Board of Health, Captain C. E. Waller, U. S. P. H., 
furnished us sufficient influenza vaccine to vaccinate all our people. It was not 
forced upon them, but we recommended that they take it, and we took it our- 
selves. One hundred and sixty-four availed themselves of the opportunity. 
Only two patients who had the three doses developed influenza—one of these 
on the day the last dose was given and the other two days after the last dose 
was given. About one-half dozen who did not take the vaccine treatment did 
not develop the disease. 

You may guess that we were greatly handicapped in our work with such a 
large percentage of the medical staff, nursing staff, and servants ill at the 
same time. Weare greatly indebted to Miss Rose M. Ehrenfeld, State Director 
of Public Health Nursing; the American Red Cross for sending us three 
nurses; and the following patients, who helped serve meals to infirmary 
patients, helped take temperatures, and assisted in any other way they were 
needed: 


Men Women 

Mr. W. T. Skinner Mrs. Roy Black 
Mr. W. R. Sheppard Mrs. Emma Bunker 
Mr. F. F. Brotherton Mrs. Estelle Moore 

7 Mr HoH. @-Brown Mrgocl)o i: JOun 
Mr. J: H. Cline Mrs. Bertie Thompson 
Mr. J. F. Carter Mrs. E. C. Mallonee 
Mr. Henry Clark Miss Sallie Crews 
Mr. L. W. Grantham Miss Hula Hunter 
Mr. E. C. Hemmingway Miss Roxie Samuel 
Mr. Marvin C. Hoggard Miss Ethel Byrd 
Mr. F. L. Saunders Miss Gertrude Harris 
Mr. J. F. Hannah Miss Essie DeVinney 
Mr. W. R. Johnson Miss Lillie Nash 


Mr. C. W. Hall 

Mr. Stewart Beachum 
Mr. Roy W. Barnette 
Mr. W. C. Averitt 





All of the patients volunteered their services and stood ready to aid in any 
way possible. The sweet spirit of the patients and the absolute absence of 
fear on their part was appreciated greatly and is worthy of remark. 

On account of the magnanimity of the Red Cross in donating their nurses, 
the refusal of Miss Ehrenfeld to make a charge, and the kindness of the 
Public Health Service in furnishing us vaccine without cost, the influenza did 
not increase our expenses in any way. 


Tue Nortu Carorina SANATORIUM 9 


We desire to express our appreciation of the loyalty and devotion to duty 
of our acting head nurse, Miss Ingram, who is one of our recent graduates, 
and the other nurses during the trying times when the influenza was with us. 
The chef and the other servants are also deserving of our appreciation and 
have it to the fullest. Likewise all members of our force in whatsoever 
capacity employed. 


TUBERCULOUS SOLDIERS 


At the request of the Bureau of War Risk Insurance, we have taken a few 
soldiers who. have tuberculosis. We have fourteen here at this time, have 
discharged as arrested three, and have admitted six more to come during 
December. These are all North Carolina boys, and the Bureau of War Risk 
Insurance pays us two dollars per day for their board and treatment. We 
beg to quote the following from Col. Chas. E. Banks, Chief Medical Adviser, 
Bureau of War Risk Insurance, in November, 1918, issue of the Journal of 
Outdoor Life, page eleven: 


“No human problem however small seems untouched by the war. Not the 
least of these problems is the housing of tuberculous men, women, and chil- 
dren in sanatoria. And the needs are increasing rapidly. The operation of 
the selective service law is discovering many thousands of hitherto unknown 
cases of tuberculosis. Hundreds of them need sanatorium treatment. 

“When the drafted men reach the camp they are examined as quickly as 
possible by the regimental surgeon and the special examiners, generally 
within a week. If found unfit because of tuberculosis or other physical disa- 
bilities they are at once rejected and returned to their homes. They have 
never been accepted as soldiers, and the Government apparently assumes no 
responsibility for them more than to furnish transportation back to their 
homes. They remain a civilian problem. And added to those rejected by the 
local boards, the whole number is becoming very serious. The number of 
those in the army who are breaking down is very considerable. The Medical 
Department of the army is building large hospitals for their care, but many 
of them are anxious to return to civilian life and are demanding their dis- 
charge. They are entitled to compensation and sanatorium treatment under 
the War Risk Insurance Act. It is the policy of the Bureau of War Risk In- 
surance to place them in sanatoria as near their homes as possible. The 
Bureau pays a maximum of fifteen dollars per week for their maintenance. 
Up to the present time, of the men who have applied for compensation for 
disability about one-half are tuberculous. 'There are not enough sanatoria 
nor nearly enough beds to provide treatment and care for this increasing num- 
ber of known cases of tuberculosis. 

“It must be understood that this sudden and great demand on the bed 
space of the existing sanatoria in this country cannot be met without exten- 
sion of their facilities—even of a temporary character, and in order to main- 
tain the morale of the public which remains at home, and to conserve the 
health of the people, it is necessary that a large proportion of these cases be 
given sanatorium treatment. First, for their own benefit, and second, to pro- 
tect the health of the communities wherein they reside. 

“This Bureau already has about four thousand cases under its jurisdiction, 
and is intending to place them in suitable sanatoria. This can be accom- 
plished in some States, but is almost impossible in others owing to the long 
waiting lists which exist at many of the public institutions. I can, therefore, 
say, and emphasize the opinion, that provision for these unfortunate men is 
a secondary war work and should be met by the public-spirited citizens by 
making provisions for the extension of local sanatoria to take care of the 
needs of the public in those regions where the present facilities are in- 
adequate. 


10 AwnuaL Report, 1918 


“This Bureau needs bed space in almost every State for the care and treat- 
ment of these discharged soldiers and sailors who are beneficiaries of this 
Bureau under the act creating it. 

“Awakened to the demands of the hour, a number of communities are plan- 
ning to build either new sanatoria or additions to existing plants.” 


In connection with the above we desire to quote in full a letter from the 
Chief Medical Adviser of the Bureau of War Risk Insurance to the Superin- 
tendent of your Sanatorium, and submit the same in connection with the 
budget for next year’s expenditures: 


“Tt is desired to bring to your attention the fact that the sanatorium facili- 
ties of the United States for the care and treatment of the tuberculous are 
inadequate for the care of soldiers and sailors discharged from the military 
and naval forces suffering with that disease, plus incidence of tuberculosis 
among the civilian population, and this is more especially true in the South, 
which is painfully lacking in the number of beds available for white and 
colored patients. 

“While North Carolina has an unusual number of large and well-equirped 
private sanatoria for the tuberculous, they are mostly available for persons 
of means who are able to pay special charges for special accommodations. 

“There have been over one hundred and fifty men discharged from the army 
for tuberculosis in North Carolina, and in addition to these cases acquired 
in the line of duty in the service of their country, you have probably an even 
larger number of rejects from the Draft Board as a part of your ga 
population. 

“It is highly desirable that the State furnish some adequate means for the 
care and treatment of its discharged soldiers so that the problem confronting 
the Bureau of War Risk Insurance of placing these men where they can re- 
ceive proper and adequate treatment will be partially solved, in so far as 
North Carolina is concerned. 

“I would be obliged if you would take this up with the proper authorities 
if contingency funds are available, or with the Legislature if the situation 
be otherwise, and advise me what can be expected in the above line of sana- 
torium development to meet a serious economic and public health problem.” 


THe SOLDIER’S WIFE 


It has been a great pleasure to be able to help keep up the morale of our 
boys with the colors by taking care of the wives of soldiers who went to the 
front. A case in point is 


THE BRIDE OF A SOLDIER BOY 


“One morning in June, 1918, the telephone rang and a young man’s voice 
spoke distinctly, resolutely, and asked if he could speak to the Superintendent 
of the North Carolina Sanatorium for the Treatment of Tuberculosis. To the 
Superintendent he said: ‘This is Private W—————, from Camp —————; I 
desire to see you personally in regard to my wife. The Superintendent in- 
vited him to come out to the Sanatorium. 

“In a short time he presented himself, bringing his young wife with him, 
and made the following statement: ‘My wife was with me at camp and was 
taken sick. I sent her to my father’s home in ————— County, N. C., and 
later I learned that she had tuberculosis. I consulted our physician, Dr. 

, and he advised me to bring her on down here, saying that he knew 
the Sanatorium was full—it always is; and he said that he also knew that 
it was necessary to make formal application and let the application take its 
place on the waiting list, but there was no time for this now. He said that 
he knew the Superintendent had a heart in him and that you would do what- 
ever you could for us. So here we are, and my furlough will expire by limi- 
tation in thirty hours. The Superintendent said: ‘We will take your wife 
and take care of her. It is true we haven’t a vacant bed on the place, but we 


THe Nortu Carotina SANATORIUM 11 


will let your wife sleep on a reclining chair until we can get a vacant bed. 
Your allotment will take care of the amount patients are required to pay bere, 
and I will guarantee that the other needed expenses, such as clothing, etc., 
will be provided through Red Cross Seals or the Home Service Committee of 
your county chapter of the American Red Cross. The point is, you are going 
to fight for our country, for yourself, and your wife, and your mother, and 
your unborn children, and those of us who remain at home, and we want you 
to know and to feel that those of us who are left behind are going to take care 
of your wile just as well and perhaps better than you could have done had you 
remained at home.’ The private’s face brightened up and in six hours he left 
to join his command.” 


LIBRARY 


Many kind friends have continued to donate books to our patients’ library 
until we now have more than fifteen hundred volumes. The bookcases have 
also been donated and the library is well equipped as mentioned above, and 
we have no doubt that friends will continue to donate books. The only handi- 
cap is that we have no room anywhere for the library and we are using a 
narrow hallway at present, which is extremely unsatisfactory and causes 
much crowding and inconvenience. 

We desire to express our appreciation to those interested friends who have 
made our library possible. It is a great comfort and pleasure, as well as profit, 


to the patients. 
X-RAY LABORATORY 


The Sanatorium has needed an X-ray laboratory these many years, but 
seemingly could never save out sufficient money from any fund with which to 
pay for it. The State Red Cross Seal Commission came to our rescue and 
requested us to buy the best equipment that could be had and send the bill 
to them. The total amounted to thirty-five hundred dollars, for which sum 


we are profoundly grateful. 
Rooms FURNISHED 


The local Red Cross Seal Committee of Laurinburg has sent sufficient money 
to pay for furnishing two rooms, and the Southern Pines Red Cross Seal 
Committee has furnished one room. We greatly appreciate their kind thought- 


tulness. 
SuNDAY ScHOOL LITERATURE 


Miss Grace MacKinnon, a trained nurse now with the colors, has paid for 
our Sunday School literature for more than two years, sending her check for 
five dollars every quarter. The Sanatorium and the Sunday School appre- 


ciate this greatly. 
We have had many other donations from interested friends, for which we 


are always appreciative. : 
TRAINING SCHOOL FOR NURSES 
Our training school for nurses has proven a success from the beginning. 
At this time every nurse is an arrested case of tuberculosis, all of them having 
taken treatment here. 
PATRIOTISM 


Every one connected with the Sanatorium in any way has on every occasion 
shown their loyalty to the cause for which we have been at war. They have 
invested in War Stamps and Liberty Bonds and have contributed liberally 


12 ANNUAL Report, 1918 


to the Red Cross and other war activities. In the Red Cross Christmas Roll 
Call the percentage of enrollment was one hundred. But it perhaps was the 
Fourth Liberty Loan that brought out the best in us. All who thought them- 
selves able bought bonds. Then several Liberty Loan clubs were formed of 
two or more people, and after that the crowning event was the purchase of 
three hundred doHars worth of Liberty Bonds by the Ladies’ Missionary 
Society and the Sunday School, and other smaller contributors, and donating 
them to the Sanatorium as a nucleus for an endowment fund. 


SUNDAY SCHOOL AND OTHER RELIGIOUS SERVICES 


We have had a Sunday School since shortly after the Sanatorium came 
under the present management. It was organized by Dr. P. P. McCain, As- 
sistant Superintendent of the Sanatorium, and meets every Sunday afternoon 
or evening. It is a source of much pleasure, comfort, and spiritual improve- 
ment to all of us. Often we have had one of the patients for superintendent 
and one for teacher. At this time Mr. W. R. Sheppard (a patient) is superin- 
tendent and Dr. J. L. Spruill, of the medical staff, is the very able teacher. 

We are at this time having a midweek prayer service, conducted by Dr. 
J. Dao prulis 

We have usually had midweek preaching services by some one of the min- 
isters in this territory, but since Rev. H. O. Nashe, Rev. W. T. Baucom, and 
Rev. Hugene Alexander have gone to the war as chaplains from this section, 
we have done without preaching services. 

Our Sunday School and midweek prayer service was not interrupted on 
account of the influenza. 


VEGETABLES AND CANNING 


Our truck garden furnishes us with all the vegetables for our table the 
greater part of the year and continues to furnish us at this time (December 
1, 1918) sweet potatoes, Irish potatoes, and salad greens of various kinds. 
And in addition, on a 


HOME-MADE CANNING PLANT 


we canned last summer (1918) five tons of peaches and seven tons of soup 
mixture, beans, tomatoes, etc. We are indebted to Mrs. McBrayer and Mrs. 
McCain for the canning. It was their insistence that pushed us into it two 
years ago, and it was their management and their labor that made it possible 
for us to can the twelve tons of canned goods last summer at a total cost for 
labor of thirty-five dollars. Of course we had to buy the cans and we had to 
buy the peaches, but the vegetables were all raised on our own truck garden. 


MovinG PICTURES 


We are indebted to the State Department of Education for placing us on 
their Hoke County Moving Picture Circuit, and thus furnishing us moving 
picture entertainments twice a month without cost to us. We also appreciate 
the many kindnesses of Mr. Williamson, the Manager. 


Hicu PRIcEs 


It is unnecessary for us to mention to you the high price of food, coal, 
furnishings, etc., for you have had personal experiences with these things. 


Tuer Nortu CaroLtina SANATORIUM 138 


And it is useless to dilate on the difficulties of furnishing fuel through the 
hard winter of 1917-18, with railroads confiscating your cars when they so 
desired, and finally finding yourself out of coal with the mercury at zero. But 
perhaps, after all, the increased prices offered for labor of all kinds, whether 
physical or mental, has handicapped us most. Feeling that we did not have 
sufficient funds to pay the increased prices for labor, etc., we have had many 
more changes in our force than heretofore. Add to this the fact that every 
able-bodied person connected with the Sanatorium within the age limits went 
to the war, and you will see that it has made our working force very much 
less efficient. Those who remained have been for the most part loyal, devoted, 
and faithful to duty. It seems that we will have to revise our ideas upward 
in regard to the price of help. 


Our Honor ROLL 


Captain Reuben A. McBrayer, M.C. 
Lieutenant S. W. Thompson, M.C. 

Miss Mamie O’Kelly (Head Nurse), Overseas 
Lewis B. McBrayer, Jr., S. A. T. C. 


ORDERLIES 

John Graham Gus Miller 

Wm. McIntyre Claudius Reeves 

PATIENTS 

Mr. Rufus Routh Mr. P. C. Blake 
Mr. W.N. Claywell Mr. L. B. Hornaday 
Mr. E. C. Weisner Mr. J. C. Iseley 
-Mr. Jas. S. Price Mr. J. L. Brown 
Mr. W. BE. McLauchlin Mr. J. T. Shamel 
Mr. Wesley S. Graves Mr. J. H. Clodfelter 


Mr. Oscar L. Smith 


DEMANDS FOR ADMISSION 


As the character of the work done and the results accomplished have be- 
come more widely and better known throughout the State, the demands for 
admission have become more and more insistent, and we know that the time 
has come when a more liberal provision should be made for enlargements 
and betterments. 


THE EXTENSION DEPARTMENT 


WHICH IS 
THE BUREAU OF TUBERCULOSIS 
OF THE 


STATE BOARD OF HEALTH 


For a statistical and financial report of the doings of this Department you 
are referred to another part of this report. 


EXNFORCEMENT OF LAw, ETc. 


We have continued the enforcement of the law requiring the reporting of 
all cases of tuberculosis to this Bureau, the same as measles, diphtheria, etc., 
is required to be reported to the Bureau of Epidemiology of the State Board 
of Health, and have sent literature to each case reported, giving detailed 
instructions as to the hygiene of tuberculosis and especially emphasizing the 
importance of not communicating the disease to others, and pointing the way. 
We have also furnished sputum cups to those ordering them and have other- 
wise conducted a correspondence with patients and their families to the end 
that we might be of the most help possible to them. 


‘CORRESPONDENCE WITH PHYSICIANS 


We have continued our correspondence with physicians. Many physicians | 
of the State have complimented this work and stated that it has been of great 
help to the physicians of the State, and some have stated that a different and 
much improved attitude was noticeable in the profession as a whole. Other 
States have spoken highly of this work and have requested and received copies 
of this correspondence for use in their own States. 


LITERATURE 


We have prepared and sent out such literature as seemed advisable and as 
the means at our command would allow, but not nearly so much as should 
have been done, nor has the literature been printed in the attractive style and 
colors that should have been done, which was also due to lack of sufficient 
funds. In the Liberty Loans, War Savings Stamps, Red Cross, and other 
drives our Government has used the printers’ and the lithographers’ art to 
the very fullest, and it was no doubt money well spent, else they would not 
have continued to spend thus seemingly lavishly. The Government also used 
so-called “catch phrases” to splendid advantage. ‘While we couldn’t follow 
the Government in its display advertising for lack of funds, we did to some 
extent follow it in its ‘catch phrases,’ which proved to be well worth while, 
judging by the number of States that copied these things, one small leaflet 
having been copied by ten States, another by five. 


Tue Nortru Carotina SANATORIUM 15 


PusBLic HEALTH NURSING 


Owing to the war we were for some time without a State Director of Public 
Health Nursing, but latterly we have been very fortunate in securing the 
services of Miss Rose M. Ehrenfeld, who is well qualified from education, 
training, and experience to take charge of and direct this important field of 
health work, and especially important in the campaign against tuberculosis. 
The Metropolitan Life Insurance Company pays half the salary and half the 
traveling expenses of this Director. 

We have also been handicapped in securing a sufficient number of public 
health nurses to supply the needs of local communities, because every canton- 
ment zone must have from one-half to one dozen, and many felt that they 
must obey the call of their country and man with nurses our base and other 
hospitals “over there” and “over here.” Now that demobilization is taking 
place rapidly, it is expected that shortly we will be able to supply the present 
demands, if not the needs, for public health nurses in our State. 


WorK AMONG THE NEGROES AS A RACE 


We had felt for some time that we were not getting information to the 
negroes of our State in regard to the prevention of the spread of tuberculosis 
as we ought, but at last we were fortunate in securing the services of Florence 
C. Williams (col.) as State Director of Organization and Education Among 
the Negroes in the State. At the same time, in cooperation with the Depart- 
ment of Education through Prof. N. C. Newbold, we secured much help from 
his rural supervisors of negro schools and through them to the teachers and 
people. This cooperation is to be continued and enlarged this coming year. 

Mrs. Williams also was on the staff of the summer schools and institutes 
and did a most extraordinary fine piece of work in them during the summer. 
- One feature of this work was organizing negro community leagues, and there 
have been organized 482, with a membership of 16,731. These leagues were 
to hold monthly mass meetings, appoint committees, locate the tuberculous 
in the community, teach them, minister unto them, and otherwise endeavor 
to teach the people in the community how to prevent the spread of tubercu- 
losis and other diseases. These leagues have grown so valuable that it is now 
intended to magnify them by making them the sole organization in the com- 
munity for the improvement of the conditions of the negro, and the other 
departments of State will join with us and use them too. 


TUBERCULOSIS CLINIC 


. Our tuberculosis clinic at the Sanatorium has a very interesting history, 
perhaps worthy a word of comment. It was opened to the public in the latter 
half of 1914, shortly after the present management took charge of the Sana- 
torium. Patients were allowed to come at any time, and we stopped in the 
middle of whatever we might be doing and examined them. They soon began 
to come in larger numbers until we found it necessary to require them to 
come during certain hours. The growth continued, and we had to require 
them to write us and allow us to assign them a date and hour on which to 
come for examination. We have done as many as 112 in a month, that being 
the number we did during the month of August, 1918. We have fifty waiting 
for examination at this writing. 


16 AnnuaL Report, 1918 


Our desire is to have a diagnostic laboratory the equal of any in the world. 
Why not? Why should citizens of North Carolina journey to Richmond or 
Baltimore or Saranac Lake, or even to Asheville, to find out whether or not 
they have tuberculosis? A prominent layman interested in our people says: 
“The trip to Asheville is long and the hotels and doctors are high in their 
charges; the trip to Sanatorium is also long and inconvenient for many. 
Couldn’t you establish a clinic for which you could vouch in many different 
parts of the State?” To this we replied, “Yes, if we had the funds,’ and we 
then told him of the 


COURSE IN PHYSICAL DIAGNOSIS 


we are offering to physicians and the arrangement we have with the Bureau 
of County Health Work of the State Board of Health to establish a clinic in 
each of the counties that have whole-time health departments, and of our 
desire to establish one or more 


TUBERCULOSIS CLINICS 


in every congressional district, and then the plain cases, i. e., those who 
plainly have it or plainly don’t have it, could be handled at these clinics and 
the doubtful cases could be passed up to the Sanatorium for further study. 
This is really the next important move. 


TUBERCULOUS SOLDIERS 


The soldiers discharged from our army on account of tuberculosis who gave 
North Carolina as their legal residence have been reported to us by the War 
Department through the National Tuberculosis Association, and we have 
written them personal letters and sent them printed matter in an endeavor 
to impress upon them the seriousness of being discharged from the army on 
account of tuberculosis, and the much more serious matter of having tuber- 
culosis, and the wisdom and necessity of securing proper treatment. 

We have also conferred with the Southern Division of the American Red 
Cross and secured its cooperation through the Home Service Committees in 
visiting these cases and endeavoring to get them to take an examination in 
order to find out their condition and then to take the necessary treatment, 
the Home Service Committee being instructed to take care of the family when 
necessary in order that the soldier might take sanatorium treatment, etc., etc. 

Latterly the Bureau of War Risk Insurance is paying for sanatorium treat- 
ment for these men, i. e., those who were discharged shortly after going to 
camp and who they formerly refused to accept responsibility for. We also 
have arrangements with the Bureau of War Risk Insurance by which we aid 
these men in making application for treatment and care and for their insur- 
ance. We have had reported to us 552, and 27 of them have and are receiving 
treatment at our Sanatorium. 


DRAFT REJECTS 


We also secured the names of all men rejected by the local and district 
exemption boards, through the kindness of the Governor and Adjutant Gen- 
eral issuing proper orders, and have conducted similar correspondence with 
them as with the discharged soldiers, and we have the promise that the Home 
Service Committees will, in the near future, visit them and endeavor to be of 


Tue Norru Carorina SANATORIUM 17 


help to them. But the Government nor the Red Cross assumes any obligation 
in the treatment of these draft rejects, and it therefore continues to be a 
civilian problem which is being very poorly handled for lack of funds. We 
have had reported to us 1,342 of these. 

It may be of interest to say that only one other State secured these names, 
and therefore only two States have reached these draft rejects in any way; 
and so in these other States they went back home to their civil occupaticns, 
many of them not even being aware of the fact that they had been rejected 
on account of tuberculosis, or that they had the disease. 


ASSISTANT COLLABORATING EPIDEMIOLOGIST, UNITED STATES PuBLIC HEALTH 
SERVICE 


The Government has recognized our work in this department by appointing 
us Assistant Collaborating Epidemiologist, and has given us its franking 
privileges so far as the reporting of cases of tuberculosis is concerned. This 
applies to all our correspondence with physicians and others in regard to the 
reporting to us of cases of tuberculosis and to the physicians and others who 
report cases to us, and saves us and them the postage usually required to carry 
on this work. 

The Government in establishing its cantonments in this State requested 
information in regard to the incidence of tuberculosis in the proposed can- 
tonment zones, which was furnished, and after the cantonments were estab- 
lished we cooperated with those in charge of the health work in the canton- 
ment zones. 

There are many other things that could be written of the work that has 
been done and is being done, but this report is already too long, and we close 
by appending hereto a roster of literature of the Bureau of Tuberculosis of 
the North Carolina State Board of Health. 


LITERATURE OF THE BUREAU OF TUBERCULOSIS OF 
THE NORTH CAROLINA STATE BOARD OF HEALTH 


MAILED ON REQUEST, WITHOUT CHARGE 


TITLE OF BULLETIN 


Bulletin No. 36—Tuberculosis: Its Nature and Prevention. 
Bulletin No. 39—Important Facts About Tuberculosis and Your Chances 
Against It. 

Bulletin No. 61—How to Care for a Tuberculous Patient. 

Bulletin No. 70—Tuberculosis: What Those Who Have It and Those Who 
Live With It Should Know About Tuberculosis, and What Well People Should 
Know About It. 

Bulletin No. 117—Tuberculosis: Its Symptoms, Prevention, and Cure. 

Bulletin No. 129—County Tuberculosis Problem. 

Bulletin No. 157—-The Problem of the Returned Tuberculous Soldier. 

Bulletin No. 92—An Act to Prevent the Convicts or Prisoners of North Caro- 
lina from Contracting Tuberculosis. 

Bulletin No. 1000—Public Health Nursing. 

Bulletin No. 1001—A Perfectly Legal Murder. 

The Incidence and the Importance of Pleurisy in Early Tuberculosis, by 
P. P. McCain, Sanatorium, N. C. (Reprint from the Southern Medical 
Journal.) ; 

The Greatest Mother in the World—After the War. 

While He Fights Over There. 

Is Your Muffler Working or Your Cut-out Open? 

After the “Flu,” What? ‘Watch Your Step.” 

They Are Dead. 

Camouflage. 

U-Boat-Warfare Against the United States, Including North Carolina. 

A Plea for An Earlier Diagnosis of Pulmonary Tuberculosis by the General 
Practitioner, by J. H. Way, Waynesville, N. C. (Reprint from the Charlotte 
Medical Journal.) 

The Diagnosis of Early Pulmonary Tuberculosis for the General Prac- 
titioner, by Dr. S. E. Thompson, Carlsbad, Tex. (Reprint from the Charlotte 
Medical Journal.) 

A Modern Prophecy, by Benjamin K. Hays, Oxford, N. C. (Reprint from 
the Charlotte Medical Journal.) 


SUMMARY OF YEAR’S WORK, EXTENSION DEPARTMENT 





DECEMBER 1, 1917, To NovEMBER 30, 1918 


PE BDOCLALGETOCOLVCU 6.0 o o0 os: « 6.0.4.@ aide Suede ain, wie eek tens hd shed as 22,578 
Letters written: 
REN Ue) I Ee yo roi ew G uw boa dk Ghats of Betete Rts a hs 22,459 
ESI 0 Sti a SD Eh 29,511 
A er ee an aed oo en at eS fs at, Sy EhN cele Slash IGN Oa: ov ahd eth le als 51,970 
Articles written (approximate number words): 
CEE SOLES EEE PSSE “es. Sait SPS hl 2,950 
ERIE oy cue 6 alee I OPS en 2,150 
PROM T NT) TOUS Sais adusucat, «, cleteis sie) a 6 awe ieee ae be es ae 14,900 
Se TENCE CL OU Stee cco io ac oe ce ei nus dears tee ashe c oc .s'e.0 Ons 800 
Ne eS ee eG ua es cao. 8 yew M0 vo ot bw os 05.0 3 o's 20,800 
Pear CATUS (DPCDALCO «oi. . cos oc cc oie e owe e wc ec ee be enue 69 
Totomuim per copies of forms and placards..............cce0e0e> 5,621 
Blank cards mailed for reporting cases of tuberculosis............ 188,970 
Number cases reported: 
CE UEPP PE) so joy ies corel SS se ea 2,152 
ee ee ee eg oy Fo lus 6 4 oo bee bce aa ole o's 1,362 
a2 Pe erg eo gle who cds Susnegeie, de 0: 6.9. a) 0.0.0 e 8bW ih wile aoaue 3,514 
Pte Vat CESeNtetOUTeCDOrled CASES... ree eB cb ewe Wace we rose des 10,249 
mC RTC MC IDET OUL. casio docs sco jem ecsiscc see sis sad bee beeen bes 95,702 
eA SSE US ERC DITUC() 60.21. 06 ov cs Cao ot be ees eles eve eae cess henewea 64 
mM TTS RUESLGPDULCUL., «ir ss oS eis oo0.o 8 is’s Wo die cine ode ele weis eceeraie 96,250 
Tuberculin sent physicians for Von Pirquet diagnostic test....... 321 
Blanks for reporting results of Von Pirquet diagnostic test....... 321 
Patients’ histories written, (325); approximate number words.... 163,059 
eee MES CDOs SC MCR ENN, ee OP oes efahiam al V's wo “ane b's shure wy ew ialle le ¢ eis wd wide 20,270 
Addresses delivered: 
NUE non ttnad Canw ig Oe ee ee 42 
OO Oy BEML GWRO DRS eG) 582, Aa kara 2 ey GaNR OI <3 ERO et ea CN ae 4,665 
PIBOLCTICOS aViLill SIOCAIT AULILOLIULCG c= eciere cts bleh 6 co es 008 wistere et sels soo 8 121 
eee CAN UIEC) CTI Ome coerta eM Pe Te nea leere oe cs odély cai eie's: ws whee? yo 0 6. 4 silane 81 
ast eepatients examined 1OrsdiaenoOsiS... ss cs. sce cs vba see sees 738 
EXTENSION DEPARTMENT 
SuMMARY OF WorRK AMONG THE NEGROES YEAR ENDING NOVEMBER 30, 1918 
CIO PeTIGl PUCSE OTE ANLZCU soe. a. bs hte sls lee both opie on Wteile sane eFaye wie hens 482 
eS, ma Oe an ne on, Modine oa Hd v Seoie leusyéoaione avela a stacb leon erage 16,731 
BGG mE Sure 0 GLCUMILOLC om seers tte ets Settee te Seg lolalete biviiawe see's Wie wT 830 
GE ALCON Call COMME RA ses rces eee eae al abetr sts, uso 18 nln ‘etapa: vygdy neo: bale «alin sas 29,874 
Total number addressed by supervisors on health topics. esti ok So 65,295 
Total number present at meetings of the Home-Makers’ Clubs, where 


GTISECLVALIO NEO re TOOUAWOSSLAULe Ut. tie cistttes « ise te sere eels sleet se oe ee 18,072 
Total number reached by Mrs. F. C. Williams in addresses on health 


PYLE SAT) LAC TO Uae p eter fees ono orke ne t As pins oa Totes vk cus tent» Aslln ob 0. © eledn ens 30,125 
ToTale Ti niper reacned sis alle Wa Voc. th, fereaieis ols cueis niece. dey ete 143,366 


MEDICAL REPORT, 1918 




















STATISTICAL 
Number ‘patients to be reported On 2... 2 2a tee ee ee ee 300 
Number patients not: tuberculous. 22. 02% ose ee te eee 14 
Number patients not. classified sch. ss see cnn eran aera tee a ene ee 2 
Number patients in Sanatorium December 1, 1918.................... 113 
Total number patients treated during the year................. 429 
40 PATIENTS WHO STAYED LESS THAN 30 DAYS. 
Condition on Discharge 
Condition on Admission 
Arrested ie Caer Quiescent | Improved icin Died 

Inerpien tae ns ee 12 0 0 0 12 0 0 

Moderately advanced_--_-16 0 0 0 14 2 0 

Far advanced.--_-__------- 12 0 | 0 0 3 6 3 

Acute tuberculosis-------- 0 0 0 0 0 0 0 

Pijtals weowe es 2 oF 40 0 | 0 0 29 8 3 























Average stay, 16.75 days. 


Longest stay, 29 days. 


Shortest stay, 3 days. 





Number Gained Weight, 22 


Number Lost Weight, 9 





fAversce: Cains! 5 20. ee ere 
Teapoest-cains 2-2. =) fen See 
Siellest: eas eee are er 
PWationalry <1. #4 cc aoe car eee see eee 








| Average loss. 24 sue ee pee eee 3.09 Lbs. 
atest Loss s.r ee eee eee 5.5 Lbs. 
Sm dllestilossuce see eee ae ees 1 Lb. 


Not weighed 








73 PATIENTS WHO STAYED FROM 30 TO 89 DAYS. 








Condition on Discharge 





Condition on Admission 





Arrested 
Iineipien tees eee 17 0 
Moderately advanced-___33 0 
Far advanced____---_---- 23 0 
Acute tuberculosis._.._-_-_ 0 0 
Wotalss assesses 73 0 











Average stay, 56.53 days. 


Longest stay, 89 days. 





eae Quiescent | Improved ania Died 
0 7 10 0 0 
0 8 20 4 1 
0 1 7 14 1 
0 0 0 0 0 
0 16 37 18 2 











Shortest stay, 30 days. 





Number Gained Weight, 47 





Wwerge Pails es Aas ed eee ee epee 
Wargest: gaines <2) 3) ee ee 
Smallest’ gain. se eee eee ees, 
SUAMONATY / 2) {025 Sion ee eS 








Number Lost Weight, 22 


Average:loss: -:22- = tS eee 3.35 Lbs. 
Largestsloss i. See ho Seen yee 9.75 Lbs. 
Smallest:loss.c.5....-2 46-2 h eae ee -25 Lb. 


Not weighed 





Tuer Norru Carorina SANATORIUM oF. 


187 PATIENTS WHO STAYED 90 DAYS OR MORE. 





























Condition on Discharge 
Condition on Admission 
Arrested ide eet Quiescent Improved hee Died 
Donte 46 5 32 6 3 DS ser enn 
Moderately advanced__-_85 0 16 46 15 7 1 
War advanced__.--...-..- 56 0 1 18 7 ly 3 
Acute tuberculosis_______-_ 0 | 0 0 0 0 0 
AG A a 187 5 49 - 70 35 24 4 








Average stay, 191.95 days. 





Longest stay, 665 days. 


Shortest stay, 90 days. 





- Number Gained Weight, 149 





Number Lost Weight, 38 















































IAVeCLAP OIE AN eae eee a et La ODS aminwA VCLAS Chl OSSret tase oe en ee ee 6.41 Lbs. 
ILI ARRESTS CDT DS ot A (Meee CDSaeINUATCOSUOSS Sat ese eae nee ee 16.5 Lbs. 
Bra aMenGrr anevada Sab: Sinallestslosse se acusea ele seer ee Mae 5 Lbs 
SOLER YOUa EE | ae Recess UeINGtaelgied (or. Srl em kee 0 
HISTORY OF HEMORRHAGE. 
TNT SPORSMLT CS ices So ee nr 209 
Brevi ONSTONL ee ee, Sea Se kee ewe 77 
Positive < Previous and during residence__._.__---_-------- if 
Durine resid encesonlyos..0 2. c2n ee soe ae 7 
TREN RGU ay oS ees a a a eR eee 300 
RESULTS OF SPUTUM EXAMINATIONS. 
Negative-orine:sputumis. oo... sen n eco ee es 145 
Pinon diitsantomBalOI 85025 uel o dake ie U5 £ sulk. 152 
‘3 Posithve During residence 2.2). Le dees ke sek scene sceens 132 
Gnecischarvesmewens. 208 oteu st ud eeel oes 22 Ss. 120 
Lecyt el ee we wre eee eee 2 ee esos A ze 549 
20 PATIENTS WHO TOOK THE TUBERCULIN TEST. 
IP ORICEV Clee Beene eee an Meee Se se ss it! esol kes: 7 
ING RHERVO senate s oe ween meee PAG ob ou ole Sei scecccs an 13 
Oy gt Fra Mists eae ate SUL OS en eee ee 20 
4 Age Civil Condition 
Sex 
5-19 20-29 | 30-39 | 40-49 | 50-59 | 60-70 Single | Married | Widowed 
Malone 2 cece st 143 15 71 35 6 3 75 63 5 
Female_-_.....--.- 157 16 77 35 5 4 63 87 il 
LOCAIBE <<. 300 31 148 70 11 7 138 150 12 






























































22 Annuat Report, 1918 
NATIONALITY. 
AMECTICANS {2222222 Soke Sere 298 
Greek. ves eon nce sacs ee ee ee 1 
Syrian. soc.3 s2ec~ 28 ns 2 oe ee eee 1 
Total .c...2-capn- te eee 300 
COMPLICATIONS. r 
EGE tIS Seen a eee eee 1 | Hy perthyroidisme==s= =e IgPPyopneumothorax-2-es esas 3 
Aortic insufficiency----------- 1 | Hypertrophiereirrhesisvoidiverste bellagrass. 222 oes. eee 1 
wAnal'fistulacc-cooseeconc eee @-\ Ichthyosis.. 4202 ee aos Lge Periostitisns 2 o2s2te--cae see 1 
‘Arterio-selerosis=s.22--eeeeee 1:\) Liaryngitiss es ee A0n SPeritonitis =o" =e eee 3 
Arthritis deformans--_.------ 1 | Liver abscess--.--_- oss tS ee 1aePharyneitisss esses. see 2 
Bronchitiss=-t- 22-20 } |) sung abscess s24--= == ees 3 | Pleurisy with effusion_..____-- 4 
Broncho-pneumonia_--------- 2 Malaria.*2 22-222. iaiPrecnancy 2. eee 3 
POM Yelm he. -aoee eae se eee 1.) Mastitis-<.. 222s) oe eee ee LHP Scoliosisis=-c52e5 sc oe ee eee 1 
UN teritige se ee oc eee 17. Measles:-2 22. eee eee ee fsigseptie arthritisms- ss. ee 1 
Emdometritise. eee ae 3.) Motral revureltation==s—ss== GtSyphilis™.< st eseles Se See 2 
Eipidy dimitise oe 1 | Otitis media....22 Ree 0 Varicose UlCersa) eee ee 1 
Hydro-pneumothorax.----_-- 1 | Parenchymatous nephritis_____ Sulu VISCCrOPtOSISa. 22 =. see ee 1 
OCCUPATIONS. 
Automobile scents ee ee ee I | Merehantst. 23... eyed ee eee 3 
AVIS LOLS se soo Ga oe ee oe ee 1 | Ministers:... ce) 20.075) eS eee 24 
Bankicashier: sos se on ee ee ee ee ee 1+ |\SOfMiceiclerks=- sent a a ee 9 
Barbers ce a see as Re Se ae ee 1. |* Painters: bee Se eg Bee be ee 2 
BoOolkkeener sat ssa eter See: ee ee 1 | Postotiteerclerices. 22. teak ce eee 1 
Bricklayer Sic gt eos Le eee tl oe ree ete 1 | Printericcteec oe) ccoe tonsa 2p cee ee eee 1 
Bridge bullder.2-. 22a eee ee ee 1 |) Proprictominonstound ryzee esse ae eee 1 
Broker ee ec ee re eae ee ae eee 1) Railroadicler:. 22.884 - <5 5 a oo, ee 1 
Gabinetemaker* 2: Sie ee ee eee 1 | Ratlroadsconductors. vests set a eee 1 
Cate proprictorscnuse toss coe ea ee eee 1 | Railroad fireman. ieis.voecse sa eee rae 1 
Carpenters oe 22s ee ea ee ee eee 6 | Sailors. .2tcc ee otas ee eeeee eee ee ee 2 
@igar- maker sees see oe. ee ee eee Oe ae 1 | Sawyercc oy oc see ee ee ee ee 1 
Clerks 1if Stress. oes ae eee eee eee 6“ Seamstress’ aes eee 5. ee eee 1 
Cotton-mill employecss. 2... 2 ae ee eee 23 -|- Section: mastér. 2.2.92. se- = ee ee 1 
Hiditorn noc eo fe oe oe ee ae 1: Soldiers !! = Peewee een wee Oe eee eee 5 
BArimers Vn ita ide nae Oe es ee ee ee eee 43. | Stenographers:iees 2 erecta ee eee 4 
Hotisekeeperess552in2, soa ee eae 2:| Stock dealerl i292 watie) ee eee eee 1 
TIGUSEWILVGS soos cine ven ee ee oe ee nee 86 | Students. 20s ese ee ee 23 
Flouse work atvuhomerc2. go ose ee ee 20.4 Teachers. 2.22 seee pe I a ep ae) oes 10 
Jeweler:=.-- 22...) 22 2 a ee ee 1}. Telegraph.operatorae. =e ee ee ee 3 
THA WVOlr er ee ee eee ee 1 | Telephone superintendent___.--.----_-_- eee, I 
Liverymatitssee 2 eee) st eee ee 1'| Trayeling salesmenc.2 eee eee 4 
Machinists .2) sat 2 eee ae 2k ee ne ne 5 


a a 


Tue Norru Carortina SANATORIUM 


23: 


TOWNS FROM WHICH THE 300 PATIENTS CAME. 





PNY MOG Cee wat he on Ske cc 1 
Albemarleteaeete "7 eer oe as 1 
IN GS CUN: poe Oe ee eee 1 
INT OED Rey an eel ae ee 1 
Pare Da MOGseese oo oN kl ean 1 
IAS eb Or On eee eee ee 1 
IAShevilloemesmerte ces 22 5. 22. 1 
JS WUE WAYS ge es oe a eee 1 
JG a Se eee 1 
ANS ge) a 2 
Iplacki@reck mst se 1 
iS alley see es 1 
PreLOMiee Pee co 52 2 ok on 1 
iBellvaveneros ose ee 1 
ennetteemaee. 95 seas nt il 
Ppenconvillesss -. eon a2 ol i 
Berileya Video eee 1 
Bessemer City .-..----_5-.-.=- 2 
Black Mountain............._.. 1 
Blowing Rock __-.2...-._..--.-- 1 
Boonville.____....- ee Set ed 1 
IBEOUUWaAYon ee ee ee oe 1 
iieseme tee noe eer 1 
Butess@reelk = 225-0024 2.5... 1 
SURI LUNN ONG OT) eee ae ee tn 2 
@amp bel lasses eee 1 
(Cpa ae ee 1 
Canoe sats a cee ee 1 
OOIAE GSA SEG Se ee ae 3 
Castaliquea ett sees anne = 2 
Chapel ees ee eee. 2 
BGiariotter-.- 26. sucl tee ene 4 
Clayton s. sin] ee woe io 1 
 CHEUEG BOY aps NED ei delay eR 1 
Conetocuse teases eee ee id 1 
@olum biases see === =e 1 
Wooleemeer sss eee = 1 
Concord Seesteee eh = wei se 5 
Creedmoor-=2-=-=---22:-----=5- if 
Crutebhel dz eenee aoe os ae 1 
ID aliagsemeescon ae eee cet at 1 
| DERE RC ee cae nani: ote ea 3 
FOULS es Ss el ng a peter 1 
JDDG RCey 6 pe ie as ree ae ah ane ae a 3 
‘Driv lo ae ee 5 
IE CeNLON se snes ote ee eee ee 2 
filizaise huGity2e = oe 4 
Hlizabethtownl-.--------------- 1 
liar ree oc ett ee 1 
Hilterboewee cont as see eee 1 
limit yetee 2 oe on Eee 2 
Mist esas oe. ences es 1 
Vere visu. ses oes. eee eee eee 1 
Mariya eee ee 1 
Havettevilles-- Leese esses ene 6 
HourOakse eerste s£o. S22. eee 1 





Hrienashipe aes cee tees be: 1 
CCATMCT eee eh oey ee anes 1 
Gosonivd esses eee 1 
Godwintas.cs =) 2s nee 1 
Goldsboro. -s.c8e- asoeaa cee 6 
Gralvangsee = Sees eee ae 1 
GranitevMallsoe see ssen ee ee 1 
Grants pOLOwe =) eee ate eee 1 
Teens GOrGs os ee a 19 
Gualfordae =e ee ere 1 
Pal lsh ono we asas sae eae ses 1 
Flam leteee* oat see Soe 3 1 
iglewasychroreniallee ee 1 
Elamnells ville eee eee ae 1 
illendersonvilll oases aes 1 
ERG Ta 1 yee A A dont otk 1 
FL eStLET Rear e ees eT Seal oh 1 
WHICKOTY.--2sle2 eke. ee 3 
inethe Pots ss: sae en oe eS 5 
Hills bonowess#2 sakes seen > 2 
ollive Springsess see oes. 1 
Hookertoneomeeccse see coe e et 1 
iiopenMallss ase <92 0522 aoe 2 
eiimtersytllieswss. sess sees if 
Enuirdiler\ ills eee sae eos 1 
James valless suse st dew se ae 
GUTTA Os ee eeeee eee eae Se 1 
Wernersyvalleeeeese ee eee ae 1 
GU DER eee Sey Ee oe A ae 1 
Kings Mountain__._..--_.__-- 2 
ISGUsR Hey sige es Se Oe ee 3 
akeylvandin geese aoa ee 1 
Hear e late) bees sees ee ee 1 
iLeivarial were. ee 
Dre Want a lose etme eee eae es 3 
ICANN eee sg eyes 1 
henoir soe fee es Se 1 
MewiStOn meee oes te ee 3 
IL@mLNAHe eee ee Sees 
incolmtoueese sees see eae 1 
Ti tilevonmeeees cee ase ae. a 1 
ous burmese eae eee! 
We Gormealin 4 oe eee eee 
IWeacclestiel dae sess ese. 2 1 
Malis On#a eee. ae ees! ae 2 
Maiden Sar wanes he oak 1 
Mani onsen es = eee aes i 
Witraslee ee ee 1 
Max On eee eee oar ee eae cs 3 
Mebanee seen. ees aoae cores 1 
Morry Oaks =O hon og cele 1 
NGnTOCne= aaa ee ere emer 3 
Mony. eles sete look 1 
Mount eAInya sae see ene ee 2 2 
INa:s ncvalll c aes eee ne re 1 
INC WER er ia oeeaen= eee ee ae = 4 








Norfolk, 
Oakboro 


Oxford_- 


Pantego 
Peletier- 


Vo ee ft ee 


Raleiohtyests cag eat erway e 


Randleman 
Red Springs 
Reidsville 
Richlands 


Rocking 


ham 


TOC VeNEO UTA t ae eee 


Salisbur 


Veet ae a 


Silodinisee a keeles Cee ee oe 


SmowiGanij 222.24 oe ee 
Sno welll es Se eee eee 


St. Paul 


hte Be £3 ie et RS ee 


Sivasduanyspaive (Werke a Se 


SRAVLOLS Vill Guana some ea aes 
‘Ghomuasvil lens ase a eee 


Trenton 


Vall dlesemenee aa eee Ridge Meg RS 
Vialiieacduet. 32 = eee ne eae oe 
Wake: Porests. 22-2. ae eae aeee 
Waxhaw-.---- Reet ee aS 


Wests M 


Wee sien eee eee 


Williamston oss. sees eee eee 
\Wall haaniayea (ore sa Re 
Wilsonss2: 2Ses eee oe ee ae 


Wingate 


Winston-Salemeas = see sse2seeee 
SY OU Siva ee eee ene ee 


Zebulon 
































24 AwnnvuaL Report, 1918 
COUNTIES FROM WHICH THE 300 PATIENTS CAME. 
vA Tamance see ee eee 5. | Greene: 2252 ee eee Oe Bamli COs esa cee a eee ee 2 
Alexander? ic0o--- ees eee 12\°Guilford 22222 Sse eee 20 1 PASGWOLAI sot oe een ee eee 1 
VATS OTe ae Re ere ens 22) Hahtax sees... ee TSP endéracssnoeeo- eee ee 1 
Beautortec sae ee ee 2) Harnett 2.) OU TPersOn sce s rece co eee ene nee 1 
Bertiowt tes ae a ke see ee 4) Haywood. 222225 eee eee IIS PrteSee nae. es eee ee eee 3 
Blade sso tease ae ee Ll) Hertiord 22222. eee iinhandolphi-se eos a eae 4 
Buncombes 2 = ee nee 3). Hoke .3.2 see ip RIChINONG sess ces. ae neem 4 
Bute toe ee ee eee 1.) Hyde.i2523 eee et RODESOl see nea ek eee 10 
Cabarruss gene oe eee 6) | Uiredell.. 22222 = een oe Rocking ham. = een oe oe 4 
Caldwellt—2) rer tac enecoee Salad ONNSCON. 22s e 2 ees SEC ROWANS: oC oomee ook eee ae 2 
Camden seer ee ees I~) J ones... 2-22 8 eee 1 Rutherford.cs.2e seen eee 1 
@arteretie es eee Ba lan Oo; etapa is me SF Se Sal Sampson--.-— owes nee ee 3 
Catawhasce ere ee eee AON Lenoir ec) ee Sia liehefevanel Pa (e unlbieia t y o oataade peed ta a, 4 
Chatham ee en ee ee eee 3. sLincoln= se. 22. Dales Gani ly a ae 2 ee ee ne. ene 3 
Chowanls2 2 ase ee eae 23|"M acon 2.0222 es AA Stokes eso aan eee eee eee 3 
Cleveland ae eee 4s" Madison: 2 a! 226) 2eteee eens TP ARRS UEr yee ce ee ee eee eee 6 
Cohimbusti ct a ee Os Martine. soto ce ASE Tavrrrell site: seen Seeman a aie re 1 
Craveni osc Ree eee Avi Mecklenburg 2222 ss. sae SEU nignine eo = ee are eee Se ern 6 
Cumberlands se eee Sue Monte omeryoose sae sees Olt VAN CON tet ae et ee eee ens il 
Davidson coo ke ee eee Bu I MoOOrese oc ose on see eee DEW GK Ga mee Se sa ete eae ee 19 
Daviet ccc. ea ee ae ees Ba NASH Oleh cee. 2 oe ea A eEW eG autre ee ane ee eee er 1 
Hors yh Cee et eee (aliNew Hanover... 2s 1 Wayne. eet a eee rae 6 
Hrankline = coe) eee Se NOLCHAN DLO see Wilson ee ce ee es 6 
Castont sce tae eae ees sae eee Si OnslOWw_cce-o2e ee Tele Yoac i scene ae eee nie ee ee 2 
Granvilles So ee ee eee 105|"Orangéel os oS eee 4 
OUTSIDE PATIENTS EXAMINED FOR DIAGNOSIS AND CONSULTATION. 

Dé@eembertaca-s Sivas ceosnesmee 25. GA Dr kos cece ee BO hugust.. eats: seen eee a ee 112 
DANUALVsocs ee ee ees 41 3| Mays 2c see ene 84>) September=-s2-.220.- seen 93 
Hebruaryccese eee eeee BB A) ANG 2c. Sen Se oe ee 60: OOLODGE cass 0es San eeeee eee 23 
March 2.52002 oo ee ees OOF Sul yi. kn eee oe 687 UNovemberiscs- te ose ee 15 

Total acco 222 cen ow own weap clos him mid creme cal oe cee mor ee ane 738 





ee 


Tue Nortu Carortina SANATORIUM 


SUMMARY MEDICAL REPORT DECEMBER 1, 1917, TO NOVEMBER 30, 1918. 
Patients admitted: 


SONGHAI ay ae a ep 70 
Moderately sad vanCeG sae eee noe. eee ee 144 
Heat al divi nee eee a etree ee Se ee Ne es 78 
PNCUILGRE ICT CULOSIS tree etna se eee eee oe Sia le eee ee 2 
Dees amit pee eeeaeete eee Pee ct ek eae seceececucs- 1 
IE GEE HOS Rn Sees Aa oa ee ee sepa ial ee ge ener 9 
INOtRLIIDeLCUlOUSs eee eee. Saks eee Ee a 3 

LG et | eee ere etme te PMN NS 22 Se Shs os 307 





HERE YES ak oe et 7 eee Sv ee ena ee ee 6 

PAM DaTeit hysarrested see woken ee be i oe ae 58 
QMCcCelt aa eennnn ean eee) Heat Esl ee ccccansecece 76 

TEST Y SSR TEG bape cae Ss le ee en Cates ere aan 100 
(Dyhinirpanyoneepeyave Lea Ee He a 42 
cin eM rs. es A ee Ss ee 10 
INGURENIDCrClOUSH ee es i oe ae Nan aera deme ees 12 
SUS) MOL SY SEG qc Rete Sole A le, 2S ie aaa pee a ye 2 
Lt tiene. eee eeu oes eck Ao. cba 306 
lStogjential) Caw ss Sen 5 = eee SE ae ae eae ee 41,514 








LABORATORY REPORT. 


SHON A CADIS ole ena Ss ee cota a gi ee a Ne 1,597 
litimaly cessed iiss seem rene ten me want ess Meek eee 577 

KC Heris) sae eee eee ete ee ee Re Poe Se 517 
leur als thcl eee ee ek eee eka abt geal go al 15 
Lieceser ence Meret ee leg cee LS ee see 25 
(Gast ricseaeeee wate et aie Weng AG re EL Oe 5 








AnnuaL Report, 1918 


26 





















































Pay Sacege aa tn eee eRe all Ane Oca es cy oh > oh c CRG Cee in Vig? Og Re Sen ede ole Gn eh eh ee aie | oh alae ae ik ea 4SO'T 
CMe A liaanes VA oad ee hare aaa Reel, 9° eae erie ies Ble es gl ee eS Sat ime ele dle E Se A ce ae ee ae ae hirer eee peed 866 
CCM epee Sarat meas Ober Sm uk Gl, So ec AA” ge ee Skil eg oS lie ea I ak AR eT | Wael oa |e i ae SUIYIOM JOU PUB SUIATT [T21O,.L 
7S moe cae ear a Te as lt rome a eg aes See aie | ee hag meee ol a Foal ete aie coll eee ae ae ana SUIYIOM PUB SUIAIT 
0 0 0 0 0 0 0 0 0 0 MRS | Baek ate ers eee hae qsoT 
G 0 0 0 0 0 0 G 0 0 (tin ae i Seen en te ne peed 57 
0 0 0 0 0 0 0 0 0 0 0 ~------ZUIyIOM JOU pUv SUTATT peaoidurtuy) 
g 0 0 0 0 0 0 I T 0 Obn, “vie Bree SULyIOM Pub SUIATT 
G 0 0 0 0 0 0 i 0 0 The Baie aera wi aoa meee ~ oe 4SO'T 
G 0 0 0 0 0 ii 0 0 i Daca i me ata a eee ge 9 ee eae a peed 6S 
9 0 0 0 0 9 I Zz { 0 Ot 2 ks eae SULyIOM JOU PUB SUIATT peAsoiduy 
a 0 0 0 0 0 z 06 ia! G We a Sosa gs SULTIOM pus BUTATT 
I 0 0 0 0 0 0 ‘0 0 0 ie Gey ee an ae ee er ae }SO'T 
Ge 0 0 0 0 0 0 0 0 6 OMe eas ie yh Pik Gara ee peed ww 
9 0 0 0 0 0 € o 0 0 Oe Fe seals aes ae SuTyIOM OU PUB SULATT pyUsoseIn’y 
cg 0 0 0 T 0 9 6 Or 9 COA au ahh, Moscow SULJIOM PUB SUTATT 
I 0 0 0 0 0 0 0 0 T Oe TR Sie ae net 2h oe }S0T 
G 0 0 0 0 0 0 0 0 T | ee EYRE meee aan et Pie LT ares 2 a peed I0OL 
FI 0 0 0 0 0 9 ¢ G T OS. is aoa SUIYIOM JOU PUB SULATT peysolly 
#8 0 0 0 I 0 Ol ge 6Z L g ee TEES COIS Tan ATyuoreddy 
0 0 0 0 0 0 0 0 0 0 Ree Rae a Ae RRS pe ee 4SOT 
0 0 0 0 0 0 0 0 0 0 (CR atau saa ieee Naeem bore AR te ae peed 1Z 
OQ 0 0 0 I 0 Vi (@ 0 0 O32 ee SUTYIOM JOU PUB SUTATT peo selly 
IZ 0 T 0 T 0 G 8 y 5 Ti let Sees SUIYIOM PUB SUTATT 
ST6T LI6T 9T6I CcT6E FI6I ST6T LI6T 9T6T CI6L FI6I 
‘posieyo | ‘pesieyo | ‘pesieyo | ‘pesivyo | ‘pesivyo | ‘pesieyo | pesivyo | posieyo | ‘pesieyo ‘pesieyo 
ee ESiCE “sid =BIC Beth Force peice m0! “sIq Ch at SIGI ‘] oung uoNIpU0D es IByosIq. 











urToIqN.T, UTM 





uNoIOgNT, Moy M 








uo UOTIIpuoD 





‘SI6T ‘IT ANAL OL SNOJTAGUd WAIYOLYNVS AHL WOUA GHDUVHOSIC SLNAILVd LNAIdIONI TIV dO NOILIGNOO LNaSadd 


Tue Norra CaroLtina SANATORIUM 



























































CE ea ee Ae a ee ee pe Pe Sep een see ee eee ger kas al aes ae ea ga gn ee er as ie 4so'T 
VC OMENCRECEE SS) Go a: Mary eae E SR Se ot ee we hc | i eee  ? N O e a e aee hee © ae Ont eae mae peed eo7 
BA oo SA ot ld a tat ee ste Vigna arctica ai ae sciatic ir Soca igh aed ahaa oe kee te tg SUTYIOM JOU PUB BUTATT 1210.L 
FEY, © 7 SSIS aan acid ame cara (ame as feel ll agen cle ieee 2 al cana alae > ala ee eo an ae eee OU TOM PUB Sm EATEy 
T 0 0 0 0 0 0 T 0 0 ON Fecote gat ae at mai via aie 7207 
61 0 0 0 T 0 y & & sf aed eats ten we ee mas pBed 66 
g 0 0 0 0 0 v 0 I 0 08 - Se SULYIOM JOU PUB SUIATT peaoidurtu 
v 0 0 0 0 0 0: G z 0 URINE? Brae oot¥ SUTIOM PUB BUTATT 
T 0 0 0 0 0 0 T 0 0 | ee 1 ean CR a q0'T 
9¢ 0 0 0 0 0 0 IT IT ct Ol 7 eatin." hero en een Peed 89T 
oP 0 0 0 0" = 0 él LT 9 v Cee oe 1 ae SuIyIOM JOU PUB SUTATT peaorduy 
69 0 0 0 Oacat 0 6 8T 9T Or Sam ee Sate SUIYIOM PUB SULATT 
0 0 0 0 0 0 0 0 0 0 OF een oo ioe Va. ee ae am tae al 
9F 0 0 T T I é G VG 6 | eS eee ee a ie at a ees peed 106 
gg 0 0 4 I 0 ST ec 9 g RS ee SULYIOM JOU PUB SUIATT pusosaINn&) 
ZOT 0 0 z g z 01 OF 63 Gr, Dee ae Seema ae SUIYIOM PUB BUIATT 
0 0 0 0 0 0 0 0 0 0 OB, es Se ee ee ea ee aye 4s0"T 
€ 0 0 0 0 0 0 0 0 j Le ek Set Veet» peed &F 
a 0 0 0 0 4 L 0 I z Chews tice SULYIOM JOU PUB SUIATT po selly 
9% 0 0 I I 0 9 g 9 7 oe i a eae SULYIOM PUB SUIATT Ajyuervddy 
0 0 0 0 0 0 0 0 0 0 Op) giana, ab es ge) a 4SO'T 
0 0 0 0 0 0 0 0 0 0 OM SG) peek oe ek ae nee ae peed al 
0 0 0 0 0 0 0 0 0 0 On bi BUIYIOM JOU PUB SULATT poysoiry 
él 0 0 0 T 0 0 T ZL € (i a A ae ie ae SUIYIOM PUB SUIATT 
ST6T LI6T 9T6T ST6T PI6I SI6T LTI6T 9T6T ST6T PIGT 
‘pesieyo | ‘pesivyo | pesivyo | ‘pesivyo | pesivyo | ‘posieyo | ‘pesivyo | ‘pesreyo | ‘pesireyo | pesieyo 
-SI -SI -st -SI -sIq- -ST -SI -SI | 81 -ST 
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AwnuaL Report, 1918 


28 










































































T 
OLT Sos oetsel SP faelenicoiial [fia ie = eae ee a ee Se ee ie ee oe eS noe oe gee lay oon ep eae ieee a eae wl Skee Ree See Re alee en cee ee maemo in pe9qd C9Z 
BE ce Ballgame al aan (eral ah nee (eich eel Spitz (eas canny Semen oa en ieee owe eal Or pect Tana gre: SUTYIOM JOU PUB SUTATT 123O.L 
Uae rage yc oy cena Meritgg ee AS hina cma 1 ori aaa Re La Oy Sea Ti) Prenat arian hall hr ieee “a 2g a SUIyIOM PUB SULATT 
0 0 0 0 0 0 0 0 0 0 OP as BOTS er See eRe 4yso'T 
68 0 T 0 G I Or iA al ye! (6 Gebel OG Wakadadie! mek tents aS peed 06 
9 0 0 0 0 0 54 T 0 I OF 6 (Sah SUTYIOM JOU PUB SUTATT poaoiduiiuy) 
G 0 0 0 0 0 0 0 % 0 OQ). iA ins, SUIYIOM PUB SUIATT | 
I 0 0 0 0 0 0 T 0 0 Qo ew sR PRR Re Sree a te 4so'T 
OL 0 0 0 T 0 I 9T Or 61 UCe LNs Tigo ace Nea eee ke peed CZI 
66 0 T G 0 T €T FI 8 0 OS Beer cae ag SUIYIOM JOU PUB SUTALT peaoidury 
CT 0 0 0 T 0 0 9 P g [eck ee ae eee me SUTYIOM PUB SUTATT : 
0 0 0 0 0 0 0 0 0 / 0 0 Fe le ae aga a o> ar 4so'T 
8 0 0 I if 0 0 g ¢ | 9 ie re rat OR ee acy era ee pseq 0¢ 
gI 0 0 0 G 0 T 9 0 y (ses SS ean a SUIYIOM JOU PUB BUTATT qusoseIn?y 
61 0 G I G T I Ll 4 T 0 ses ="""SUTYIOM PUB SUIATT 
0 0 0 0 0 0 0 0 0 0 Oe Seg ae oe sere ep kay, 4SO'T 
0 0 0 0 0 0 0 0 0 0 Glee Nip een pice ane eS pee Ae proq 0 
0 0 0 0 0 0 0 0 0 0 On sen SUTYIOM JOU PUB SUIATT poyselry 
0 0 0 0 0 ; 0 0 0 0 0 She Ses SUTyIOM puv BUTATT Ayquereddy 
0 0 0 0 0 0 0 0 0 0 (er RPS re Sar Saas « 4so'T 
0 0 0 0 0 0 0 0 0 0 (el wlee sce k= cn tes eames peed 0 
0 0 0 0 0 0 i) 2 0 0 0 ORs asco. SUTYIOM JOU PUB SUIATT peyselly 
0 0 0 0 0 0 0 0 0 0 One Siecic = eae SUIyIOM PUB SUIATT 
ST6T LI6T 9T6T CI6I FIGT ST6T LI61 9T6I CI6I FI6I 
poesieyo | ‘pesivyo | ‘pesavyo | ‘pesreyo | ‘pesieyo | ‘pesreyo | posieyo | ‘pesreyo | ‘pesreyo | ‘pesreyo 
~ST “sid SI “SIC “STC “SIC “SIC “STC “SIC. “SIC ‘aaa 3 
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‘S161 ‘IT ANON OL SNOIANUd WAIYOLVNVS AHL WOU GHDUVHOSIG SLNAILVd GHONVAGYV UVa ITTV JO NOILIGNOO LNdsddd 


FINANCIAL STATEMENT 


TRIAL BALANCE NORTH CAROLINA SANATORIUM, DECEMBER 1, 1918 


ere et RO eT aed ecw ciek aves peoscscssvcdaes 
eee I IY Pet eg ok ce etnies Cc pb dale eeaee aces $ 12,005.64 
meamestace and hospital buildings: ..../.6... 6.5.0.5 98,347.58 
Woe etys, yi: (CNM e ise | Os gat b Mil et et a 9,445.76 
Dining hall and kitchen furniture and fixtures....... 3,148.05 
Prosereelurnatire: And f1XtUureS,....6...2....00c00e 6,049.80 
Niupsese tome, 1urniture and fixtures...............-. 1,500.00 
Superintendent’s residence, furniture and fixtures.... 1,500.00 
ea EATS Se eae ve eae wise Bee ee dices 481.01 
ee CIIe TY AN LOOIS. 12... 2... fe ec vk tse eee 1,686.75 
ee RE OC el tire ai gs iste es ese sees cles cae e sos 1,600.00 
Coat LORE RR ELS <5 5 As 5,910.00 
Pe MEAT MTE VOTO, i stoicie cso kas esd nese eens 471.00 
aver) ayes Uys rely Nua Rea aes Spa rr 6,246.50 
eee COICING -- 2.6... ees Sg ROR Ae a 373.90 
HOSE Sh ELAINE 3s SS 14,543.20 
Mem MCU MITCOULIOLG,) on cece cc ce te ew ee ences 767.75 
Be CUS AC TECU MCLC,) . 5 ccc cc ec ec enc cas ee eens 1,925.00 
SEO GUTI TT a en ol Sr ra 2,452.70 
Os? TPIS etre: Selects) tr en 90.00 
POMEL EMMIS (UV LOMMEEMELD, gies cla. ss ccs ccsiceeececveerecians 15,325.26 
Bese wliuet Company (Per. Imp., O. D.).............. 

wuts OEP TEROIRE) 54 0.0 Ape ae a 10 
SUNDESE nn 4 QB See 6 ie oot tec Sn 2,107.50 
Bert CTO TEs che esc ce ces 5 bose ee eo sleceiae oo 131.00 
een Er ODOOKSMIOUALEE) 0. ccc ce eh we ee vee ees 135.00 
Office supplies and expense (business)............... 223.10 
Office supplies and expense (extension).............. 2'50.00 
Laboratory and medical office equipment............. 4,370.55 
Stenographers’ home, furniture and fixtures......... 369.65 
MincemsonUuroments GOUSINCSS) osc. skews e eee ee ewes 764.00 
pa CemeN Ih DIDCUEMGESCENSION ) “2... in Sas oo ens oe eee ns 2,257.50 
Power, heat, light, water, refrigeration, and plumbing 30,785.25 
MUD OTC oT CIME A 0 nos hr alee ks ek Hp poe ees ie oie s 2,499.74 
Peroneoreleiie and, GCiSPOSdal DIANU. 2h. cas cc eres cecees 4,932.88 
Bere Ori a LiOMe ANU OraVvarce: oss scum s see's cute p sews 235.75 
BG DION Ger tote siecle or lne went ek oe Bp ee bie sh ea ns 50.00 
Weer OMmECRLIMIT ATCA PAE see og cord oko ys se pce le 9 4 ss 6 he Ow § 2,728.06 
Sommerciat wills, Incorporated §.. 0. sce ce ee ee eae 

PERV AMPED IIT “Qe SOIS nr, fee bie Flee saris es nce oe as ee eee 
PAbencooneriard ware *COMDADY 4..... 02ers cncapereeee 

PATON Bae). eee ie a eaters + Ao kno eels ta kele oceca fei wiatian le Bie 

PMO TescOSTAD I PCOIUDANY gcc cess oc ow wis oe tye me Bes 

Pye EV CTI SOOO COnn. cre thie 6 es nite renee ee asa soe 

Carlisle Commission Company .......2..20-2-eeeteae 


$219,338.28 


1,646.04 


931.37 
101.41 
10.48 
526.02 
4.06 
33.20 
715.08 


30 Annual Report, 1918 


Duparquet-Huot.& Moneuse Cove... cle eee ee $ gba i 
Commercial Printing: Company (.. 0... a) eek nes 7.69 
S.-H. Couch & Copia ae, eae ce com ees starts seri en Gann 13.75 
Chero-Kola Bottling Company ~ i. «cue cere cee eee 30.00 
J. H. COVintOn © 2). oo eed.cee aie ote abe dia ey Sig eek olen eee ana revel 
City. Telephone’ Company 22 cs 22. wesc erect 81.70 
Columbia Laundry (Contpany 2220s. nee ere ee 137.64 
Clarendon Laundry Company. 3... 2.5 oc visas 26.21 
Olinchfield Fuel .Company <0 oc.sen ec ae eee ee 580.92 
General Electric Company /. ts 22 scien cee ree 5°35 
Mrs." W; Ac Grovers, ic2,. ='s 0 os. chia, ee ne eee ees what 
Gold Medal Celery, Garden’... < s..)2 st ee ee ee 6.00 
The Gibson Company, Incorporated......... i ahs operant 2.70 
Hines’ Telephone. Company . 2m... as. ee eee 2.30 
S.A. Hennis+é2Con 2 ik ude w Bie el sena ales oan ena 35.83 
Hert & Frerich’s. Chemical: Company -... 35 Toe 
Huske Hardware, House’. oa..3 2. <atardtee eee 14.20 
KWingan. & “GOs. c iw hx dstele 2 nals 00 8 oe 86.00 
David. Knightyi. ssn .ssass donee. lee 10.52 
W.-H: Kine’ Drug Company. ..<..s4is) cee eee 20.50 
MeNeill Bakery ‘Company <3... ..«« Gav see eee 148.60 
Morehead City Sea. Food Company .% 0.20. ae 56.55. 
McRae’ Grocery Compan ¥ <.ic4.ste-< acre 0 eee ee 118.93 
James: McGraws Incorporated.” 2.2. v2o. eee 18.03 
The Macmillan»Company. 22. s..:-2 6+ oe eee 1.80 
McLaughlin Company a. acach See ae eee 4.20 
Piv& Ji Grocery Co 4009 2%. ee ae ne ee 4.23. 
Stoned Forsyth: CO viv weg eels aie ea 6,712.97 
nears, RoebuGkhn. & (CO gas a. guetta eee eee ee eine a : eae yah 
Swiit & Co. (Fayetteville. NieCs)< x. < noee ee 87.50 
Swift, &-Co. (Richmond, Va:)s... 0... eee 319.02 
Southern Stamp and Stationery Company........... 12.37 
Smith-Courtney, Company 3.24 as ee os eee 413% 
standard<Oil Company <.wd. «nko eee ee ee 78.14 
Wee STC eos sso cia ew ces ogee nce ce once 2.24 
Sharp & i. DoOMMG aes 6. wus a's oa ee ode, Geceaee ol 10.20: 
J.-M... Thompson (GoGo? 5.4 2c ac vse woe eee 339.64 
George “Tait. &/ Sons. 2.0 pvese es ee ce ie ae 24.30 
Virginia Machinery and Well Company...:5....o eee 149.00 
Union <-Carbide Sales:Company 32.1.4 oon fe ee eee 22.26 
Veterinary Division, Department of Agriculture...... 29.35. 
Be Ra West. Compan yin s «os cava cs bak as one eee 51.00 
Worrell Manufacturing “Company. ....)68. 2. eee . 4.38: 
Jo'T White Sa Coates. 4 eee em “hee eee eae 60.00 
Western Union, Telegraph: Company..:..... oe 27.44 
J ee ML ELULL ESD: Shas she e3 a. ho Seton aateed ore fa Jk etcet ahee gee 10.00 
Miscellaneous cash items: Maintenance appropriation 249.19 

FOR TOTISION 45 osc ace al cic Ne ee ae ake Ge ate ee 71.74 

Patients’ Lum d 258 2s ste se 80 oa Wee ce ae a ee 1,560.92. 
November pay roll: 0. 34 ee ee ee Pe ee 1,739.53 


$236,309.58 $236,309.58: 


Tue Nortu Carotina SANATORIUM 31 


EXPENDITURES N. C. SANATORIUM, YEAR ENDING NOVEMBER 
| 30, 1918 


Brooks Hatt INSURANCE FUND 


EI RES CENA ve 0) $ 8,333.29 


PERMANENT IMPROVEMENT FUND 


Bimidings. New (servants quarters) ........<...ce. $ 2,585.10 
Sent na terete. oa Ss Skee am cao an bowels 295.99 
Furniture and fixtures: Nurses’ home............... 1,383.93 
OEE Sk as lle ai ea 5.25 
Pomecnic operations: ‘Telephones... 3.:i..0...c00. 04. 1,438.21 
ee ee ach he Ae ld alc eald ccc ce dele do 11.03 
eee le te dla cs ic Ose secueeee 1,318.64 
a ere ce cies se oene..cpe'el, cera See cs 50.00 
Smeets ANd: SILOS) 66. cc ee ee ee te ees 7,291.59 
eee R MNS eta GLP ca a yale o's Ga oles die ile e's osc els 29.00 14,408.74 


$ 22,742.03 


re Ge ods eid cee e cc leek's $ 66,345.19 
aC OO ORCS OC Se fot. bs dk acca te cece wees 1,895.53 
Deemer Ur LUreeanG TIXtUTES . 63 ee eee 234.52 
ReOh ea Sta LIOMCLY 925 ooo. sok ee wets Seles ee daes 1,109.34 
SS) EV TDD rb ace hen ci 1,182.80 
Hospital supplies ........ FR RRO Dwar Aad an ty eg £619.92 12,387.30 
MAINTENANCE APPROPRIATION 
Coeee 1) NEU TV ISTI RSE iar ie 5 Di a § 3,619.00 
“PLE SELEE STS) cert) Sanit fale ame Ie aa Pa aa Se 1,625.00 
REC em I eC ANUS) ic ok cele cee ol cee oe ee 1,901.47 
eee PALO LVAD L Sy Sa An cae Oa ho attests 4,461.63 
Bpires eouding and HNeN tess. ce do e086 oe e's oo ee oes 450.45 
MIC ECE VMOMUPSILVOl Ss, A ode a e oc oe ea doe dee he ek We bn 94.16 
MAE PU PINCC ICING <2 8) o tad he hog Pe oil ee gs oats 60.10 
Dee ne fe ne key eae soo eesk eee es 3,838.40 
MMR OH Ge AAV OAL Ge 2. sco Aeere fener es Dns se atte ae codes bee 393.72 
LEYS URSETE. caves CULM Ate Calpe 9 Aaa as ca a Pea 297.62 
ee TR A Wa oA ier ood ae oo Sie allot av 723.60: 
i BOLO DIOS MATL WES UI G Sie cart od Raves o) std deka ay) aisle) «aye! @ one 260.31 
RCS UC EMERG Coa oh chat nl oh ota vol or ¥! of oto) ghia otat sic. oie ates « 1,594.24 
Eye t elt ORAM te IEC ot vac ah ahsay va vy 27 ah Wt al gece Oh oO of woh owe sh ame 2.00 
Peete MUTA LUTCP ANG MEX CUTCS. > aio 4 ms cei era's #0 oto oie 190.30 
ME SCOILATICOUGKbS cine « ea vida a ole nee o1o piace en hee we 5.05 
Power, heat, light, water, plumbing and _ sewers: 
HeISC Lema he, StS PNER Spats ICM wiv away alle eat si dhs aro Sor sl-y wi wis koa. ¥ siye 1,665.54 
SEPT DLT OS ee Manet teee te ard oh ally Bille at oret as ceatahiw chatin at eile bro ahah 6,559.51 


MLAB ERY Lu Ge eucdir ep cEek Navah BA er cs ec otioe: arnt oti ial oh ol ec we Samah fave BY ALI G 


32 ANNUAL Report, 1918 


Farms: Buildings eS AEs hice « i eS 181.88 


Répalrs to“buildings"=2-: t07 cee eee ee eee 50 
Machinery and> tools! 29.522 0. Snes es eee eee 54.31 
Seeds and. fertilizers. oo 22s ee ee 2,338.88 
Heed teeth eae tecd Rae Meese eee id Ree ogee eee 512.72 
Labor ves On eee bes Chore eee eee 2,118.62 
Miscellaneous 2.0 Sees eon 62 Ss oe 7.25 
Dairy: Live-Stock 0255. 0. 0 foc oo See cre eee 360.14 
Fxtures. Wis 65 Siew «see eh bet en! ob abana el eet enn 30.29: 
SUDDILICS © BPs ok He hob.) oe, Se 18.67 
POO ae oooh aele 0 oc scble, Sees eels’ actcens een re 4,503.96 
Labor’ ..e et 6 ee Se ee 1,010.57 
Miscellaneous? Training School books (255. essen 119.27 
TaAUNOry Fi ee Cs cb a ere cee ee 199.91 
‘Transportation, and drayage [32% eee ee 392.22 
Boiler’ INSurance Vo eo we «. «yee cor eee 43.55 
Interest “Geic sa ome oo nos sake 0 0 0506 eg eee 3 24.55 
FIOPS) oo 5 deere age 0 «eine oie ele ¢ Grate 4 faite) ogee ner 170.00 


PATIENTS’ FunD 


Salaries? Cooks and servants 2..% <.5 2.02 eee $ 10.30 
Supplies:” Bedding vandilinen~. o2).s\... eter ee 783.03 
Crockery ‘and isilver GU cnn Ses oe eee 360.63 
Drugs and eMedicine: ..< . 50... - he ee 501.43 
Hospital -322 pelea. 04% 6 os ea eee 2,918.65 
Provisions: Méats* 4 5.%..%5 4 28 skies oes ee 7,401.54 
Butyer m0 eae stile aie eb Slee ar eleks. © alae Ate ee 2,059.67 
US Smee eae, ae eee Ry ae eee nis Cbs +e 6,679.81 
Vegetables and irwmits: 2. 27... %.4).4 eee dy AUN SW F 
Groceries =.2 4G 4 eee Str. eee 7,549.26 
Miscellaneous: 2) eo a0 3 <6 cisishe. giels eee en De ee 144.28 
Hquipment:*HNurniture and fixtures: v0 eee eee Loses 
JNStrUMONtS PIS Fe. ete ele lee ue csetanel hehe eee ee 145.90 
Miscellaneous ......... 2 tds ANSE Ort aa RAR eee 2.70 
Office:. Hquipmenta). 2.2. 60 AE gcc nee stesso 34.06 
Books’ and? stationery. .24).2.. tee. en ee 237.24 
MtAMDS: Viewers conte ao vets ae ores a leet ee eee 502.42 
MiscellanGous? 29.2 ai.as.< ces «40s fetes ee een eee 44.34 


Power, heat, light, water, refrigerating, plumbing, and 
sewers: 


LiQDOLP \.dide cine len ccsapte sco erecc. ccc aieae Le ene ne 73.75 
SUDDILCS. -Ae sees o's tyeam eletanc, cocuete sue e teas Sen eek eee 3,852.37 
WIGUTPMOEN Ee Gaels cho ive akerteee che > aces on eee 2.87 
Parris eo ldingsr eee Sfloweeelele: oir ss aeihgenec ate aCe 44.54 
Repairs to buildings wiejeie o:b/e: ene 016y9, 0: these Salt ghee teal 15.38 
Machineryxend . vOOIS aa ccceretes as, sees een eee 214.42 
seeds and fertilizers @Aeen..uke. eee. ee 963.32 
WOO” uk 5. adda letees oot «are sai, sleuth Gdeualte) ondaehe ab uel eee eS 1,064.70 
TID DOL, 4). eae ate 0! apes adesoh osepsh of eden eeoicnchatewer een acer aee 288.69 


Miscellan6Gusi tics ccch ces eta Lee 46.12 


$ 39,857.40 


Tue Nortru CaroLtiIna SANATORIUM 33 


Pa VM aTViO =A LOCKH es Meee. (Il co REG Decades everces $ 1 eo 
ee gC MeN PN ci Sane aks on’ ec cisge ips ve ilpyeile: 
SOE Fa Come ene ete © aie ters RN iced al ge dé xb bus cuesais 307.44 
ne Oecd Ae Oils coe hee aes 5 1,674.95 
DUEL cae enlace & alphas ene ene ee 92.00 
Pie OO Us IDOI ose ee ees ol dss cb aw rae 6 | 50 
ean CNOOLDOOKS sacs a lhl ccc ce cee aeees 65.43 
Telephone and telegraph (messages)............ 639.98 
COEUR SOOG? SG eS hee Pee rn 3,305.54 
Peranoportavion ANU -CUrayage ....e..sssin ws ewesere 1,084.82 
‘Refunds, hoard andestreabment... nts bee ee 1,352.05 
ES. it 0 SOs ae 144.08 

PROSE no ae fag lehetne ANS area 503.56 $ 47,565.90 

. $122,552.63 


STATEMENT SHOWING DISPOSITION OF FUNDS 


PERMANENT IMPROVEMENT FUND 


eee Ore tk Ie hfe che ls ears Gah eos. ves hod cee 6 ice ce eels web ewe eens $ 25,000.00 
1919 appropriation, anticipated in accordance with action of the 
Building Commission at Henderson, June 27, 1918, and the min- 
Perro R CONT Cl Ol OLALG. .... 205s sce escenc cee et becave ene oa 3,050.00 


$ 28,550.00 


Expenditures, as per disbursement statement........ $ 14,408.74 
Pooteirom txt, und, 1916-17, repaid... .......6.%.06.6 8 2,244.70 


PER GCUOCUMNAIAUGCI 0... oo sess ee cc ence wenn 11,896.56 28,550.00 








Brooks HALt INSURANCE 


Pernt CMO lm iMG CO  TCCOCIVE(.. «0. . os soe 8 bee dyed ee he delete va eles SiaLoooosae 
Expenditures, as per disbursement statement.................08. 8 po0.09 


MAINTENANCE FUND 


SEED OTT TMM RN era UM at as tated if shia Os se sa che oho SiG RES Boyes $ 40,000.00 
Expenditures, as per disbursement statement........ $ 39,857.40: 


Moat ron Mixer und,.1916-17, repaid s.%...2. sees see 142.60 40,000.00 











EXTENSION FUND 


Pe Rea hs) lee an Pern a ONS Geis, a Ae teres walla a 26 4 elim aes wap wie iw he $ 10,000.00 

momeerona drtTOme rer LM pat Wild... 2.5 ein ss oes «os $ 2,244.70 

OMe e Do ldetrOnlMVall ts BUN occ os cieks 4 20) o\aranee 0.46 142.60 2,387.30 
TIZBTIEVB oeeuyay carci 2 cipes 4 Sire ae Ie ee ee $ 12,387.30 


Hixpenditures, as per disbursement statement........2......4....: 12,387.30 





34 AnnuaL Report, 1918 


1918 
Disbursements, Maintenance Appropriation Fund................. $ 39,857.40, 
Disbursements, Maintenance Patients’ Fund..................... 47,565.90 
Total’ yeric 5 cook bb em oS 8 hoe e ke Ete Ree Oe en $ 87,423.30 
Less refund, board and treatments<..ivi2.5 oe cease oe ree 1,352.05 
Amount actually. expended... (2oeeamen eee eee eee $ 86,071.25 
Hospital days foi <o6c cc so sos bee» oa ete aieieeRanerene Gpenn: nnmEnN Cnenar eaten 42,575 
Average. cost, each patient per day......0..e een eee ee. ee $2.02 





N. C. SANATORIUM FOR THE TREATMENT OF TUBERCULOSIS, 
SANATORIUM, NORTH CAROLINA 


COMPARATIVE BALANCE SHEET 


ASSETS 

Dec. 1, 1917 Dec. 1, 1918 
Real’ estate and hospital buildings.........0% ..4es = $109,927.43 $ 98,347.58 
Real estate, farms aseeen ate Wee oe ae 11,763.34 12,095.64 
Barns.sand «silos: ohne ee ee eee Net 2,267.54 9,445.76 
Telephone: System «fies on 6 os, aim lene oho snes ey annie eee emt 1,152.42 2,499.74 
Power, heat, light, water, refg., and plbg............. 29,464.49 30,785.25 
Sewer .system<and :disposal plant. - 2.....05<c ee 4,903.88 4,932.88 

Inventories: 

Furniture and fixtures: 

Dining hallvand: kitchen .7.0.%) .n)o nite eee 3,647.80 3,148.05 
Hospitals: fee.or sin») ueualenigid» apalel sag tN alta tana 3,522.05 6,049.80 
Nurses” Home 92% 23% .')\siew wines te se 444.75 1,500.00 
Superintendent’s residence :..2:.0. See 1,448.75 1,500.00 
Business Of8C@s co's 5 05.3.2. yd oes Pe i ate 502.75 764.00 
Hixténsion office: 4-.s. nian. Ga eee oe 2,444.75 2,257.50 
Stenographers’ building’) ..:as.ee ae eee 369.65 369.65 
Dairy. 3S. Sei 4 cel SAA ER wlnlttiels nee 286.00 481.01 
Linen’ and bedding to. ces ot a ere ee 6,024.00 6,246.50 
Laboratory -and* medical offic6>..-7 2.27. --aeee eee 703.08 4,370.55 
Crockery and: silver-.3 is tad es oa ge eres eee 760.91 471.00 
Karim machinery-and)toolss7 2. oo... eee ee 1,448.80 1,686.75 
Auto and-dray (dray only.1918)3oe.eee eee 775.00 235.75 
Library: (books donated) atc. 2 cones eee eee 125.00 135.00 
Dtereopticon COUCH ws ek eoneis a eek as eee ee 118.20 131.00 
Laundry prantes ic cc aes alte ss ee one Renee er 50.00 

Supplies: 
HOSpilal ia steal ee Oe 3 oe eee ie Seta 3,125.17 14,543.20 
Warn. 16ed 7 elite. es ance SEBS SREY Mba AY SMM S's 520.00 767.75 
Dairy“ TEGd; PCtGr <a. care. ore eels eee eee 1,402.00 1,925.00 
PTOVISIONS “aleseceet + © ole Sree tice eee ene eee 2,204.15 2,452.70 


Tue Norru Carortina SANATORIUM 


dD 


Business office (supplies, etc.)................... $ 324.16 $ 223.10 

PeCtOUSIGUt SUDDIUECS FOLCL es on tha cence cccsetacen 239.75 250.00 

PBOUromT TailiNneeSCiOOl) cise css ck oe vs abe coleec 93.50 90.00 

ets See MUMTIOOACINGS Wah sk bs sw d's oss ba aA es bie 133.55 373.50 

Live-stock: 

ee RUE TTT ee he oe oe ks eee ba a ah eleas oon 5,765.00 5,910.00 

EOSIN os Gyo hones teal eae N AIS a a am ee 1,600.00 1,690.00 

eee, EAs SC .  o eve cs ov de ve oe atte'e «Ce 1,728.00 2,707.50 

Miscellaneous: 

RO MO IMMA T CEN) ere eS Pe Stee fae. 5 apie 's Sv bbe vig wim be oe 2,445.84 2,728.06 

Dene MI MBEAN WS ta enna gals. 5s cs w ace v) apse vei’ » 10 

$201,681.71 $220,984.32 

eR EE SPAR og sk ky are kek ee bb ened cagaleves 19,302.61 

LIABILITIES 

Dec. 1, 1917 Dee. 1, 1918 

We ESE OVCTOULALT. ashes cee ces ces ccc ccs e eee e's $ 2.60 $ 1,646.04 
Sue 2 a $219,338.28 201,642.50 

SEO GCUG DAV ADIO on. acs cues seeceseace 15,325.26 
204,013.02 
15,325.26 


Accounts payable 


@\ <6) 6) 0 © ©. 91)0 0 0) @ B16 8 0 6 © a 0 w. 08 @ 


$236,309.58 $236,309.58 





CASH REPORT OF THE NORTH CAROLINA SANATORIUM, YEAR 
ENDING NOVEMBER 30, 1918 


State appropriations: 


Pe COMMOCO IDEM LOL. ii sis s aie oie civ pile see eds es $ 7.40 
Peer Ses MINSUMANCO! 62. seks de ce cee ete ews cere $000.40 
Permanent improvement ............. $ 25,000.00 
Additional allowance, 1919 appro...... 3,000.00 
$ 28,550.00 
meceryed-oL above to Nov. 30, 191852. 6. 6... eee es 15,000.00 
UD eer Peaw POTER’ ey ee a ae mare te aie Sa a a 40,000.00 
POM COTES Mar NL a aay Aalwge Rive wo Fwd ae'e' 10,000.00 $ 73,340.69 


Patients’ Fund: 
Board and treatment 
Auto 
Laundry 
Hospital supplies 


Telephone and telegraph . 


Postoffice (rent) 
Provisions 
Farm 


© 61s (6) 6 Oo) 6: as, O70 6B Oe 6 8 F 6) 6) 0; ee 8 6 8 6 


a0) @ee) 8 6 6s 006, 6 e' 6) 6 © 0) & 6 © ¢ 6 e109 6 6 «6 © 6 & «6 8 66 8 6 6 8 8 8 8 
Gre) © (6 6) se) 6 6 6) 6 6) 6 © © (6 (@) 6) 0 6 @ @ 6 10 © © 6 6 8 e 2 0 eo 8 6 6 eee eS 
oow ewer eer ee eee we eee eee ee we 


ose ee eee 
©. a: e) e) ele. 0. e-fe) @] (0. 6) a) erie) Be we. Rie ee 
oe ee ee oe 
ewe) ¢ (eb! cle ene eo eles © 61ers 6 610 06 8 (a9) Bie e’ 6 0 0 ie © 60s 66 
oe ere e eee ee eo ere eee ee 
eee eee ee eee eee ere ee 


oeceerer ere ees ee eee ese ee 


6 10 Oe 0 0 S888. 0 ORO, 0 0 ee 


$ 42,843.75 
302.34 
906.71 

1,595.88 
65.56 
90.00 

1,193.13 
18.10 

155.95 
75.00 
336.85 


S48, .0\ "@) 16 <6! e) (6).@) (07 6) 6d) re) 6 (0), ow: 0:0 #6) 0" 0) 


6 6 © © © 6 e © 8 © oe 6 ee 2 ee ee 8 oe 


o. 6) @ ©) 6 «| 91 6 0 8 0 e/ le. (0 @ 6. “0 0 ©, 6 oe © @ 


OF 6: Oye Oh ©. OO, Oy 646, 0 8 int, BO, 0! 0; .6 (68 0 2 


CeO Le (Se) OLS) ee We OBO) Bite. W218) orca fe 


36 AnNvuAL Report, 1918 


Red Cross?donations. i.«....% 6. eo hee tee $ 269.05 
Hixaminations fe, sc) sive dep ee oe aie vee ae eet oe te 5.00 
Drugs and "medicine ..... 2... ecied sis ore te 2.00 
Real estate, turpentine wood... . 10 2c. eae en oen eee 25.50 


$ 47,884.82 


Cash on hand yDee. 1, 1917... .. oases 2,445.84 
$ 50,330.66 
Less: ) 
Cash on hand Dec. 1, "1918.7. .2e aoe $ 2,728.06 
Bank of Hoke, bal. Dec. 1, 1918...... 10 


Bank of Hoke O2D Dec liet91 (ee 36.60 2,764.76 


$ 47,565.90 


Page Tr.Co., 0. 'D,2Dé¢7 1, 1918.35. oo eee 1,646.04 $ 49,211.94 
Hxpenditures.as per disbursementusheet ene ee ere eee $122,552.63 


NAME OF ORGANIZATIONS THAT HAVE SUPPORTED PATIENTS DUR- 
ING THE YEAR, NUMBER OF PATIENTS SO SUPPORTED, AND 
AMOUNT PAID 


Number 

Patients Amount 
Name of Club or Organization Supported Paid 

King’s’ Daughtersy Chapel :Hill (NoC. . 2). : eee eee 1 $ 180.00 
Catholic Church, Rocky) Mount; N.C... Gee 1 273.00 
Presbyterian..Church,.St- Pauls; Ni C0... 2 fen eee iN 148.00 
Associated Charities,, Statesville, N: ‘CC: ..3 eee oe 1 137.00 
Proximity Mtfze...Co., Greensboro; N. Cl. nee tn 2 488.00 
Tolar-Hart: Mills, “Fayetteville. N. Gee eee 1 60.00 
Buncombe County, Asheville, N. C........ an gs + 241.00 
Thomasville Orphanage, Thomasville, N. C.......... 1 181.00 
Hoke-County,.NeC..* Raeford,.NicO a.3) oe a: 263.00 
Methodist Orphanage, Raleigh, N. C................. 1 212.00 
Associated Charities, Goldsboro, Ns Oe. «ese il 153.00 
Red Cross Seal Committee, Wilson, N. C............. si 183.00 
Thompson Orphanage, :Charlotte, N.C... a. eee 3 364.00 
Women’s. Club,-Greensboro, N.C... 3.40 he eee 1 213.00 
Revolution Cotton Mills, Greensboro, N. C........... 1 260.00 
POCA seseettas dapat hc chat? scare oe eae ee 18 $3,356.00 


Brooks Hall building 


26 
40 
15 


14 
20 
15 
80 
18 
10 
26 
38 


iat 


750 
60 


22 


43 
35 
42 
42 
73 


a 


10 


oo ol 


16 


15 
3 
25 


Tue Norru Carortina SANATORIUM 


37 


LOSS BY FIRE, SANATORIUM, N. C., DECEMBER 16, 1917, 3 A. M. 


PPM MILE nL) Meiers css e's s cos piece ofele's sep ace olen > 13.50 
PO SCO MOR MEO EO COCUUS «ccc co's bac s se cscslee accede 3.90 
SONVRGTSE. GRE SSA le cA Ce ae a oi 40.00 
Bee GMD UINIVOL SOG Li DOS oe oie ¢6)0.4 6 2 6 so asveie o.chea ec vieleeas 45.00 
Uomolewnlankets, ab $6... 62.65. cesses ees AA ene ae 54.00 
BeeEON CIS BOL LO eCOMUSic cf. onc sls oy coe eels snes ae 2.10 
PMO VOL Seto TAD OSCENES), 6. othe bes bade ewes ec ewe es 3.00 
Sipe UMCONLG fae ce) tetl > et. FHM Giele ok wa wks «8 e's « DU 
Pomme NATAL OO GOTILS.. c4 5 cccw ad ccede cee seve 48.00 
Sar mem ee ORE hs ee ce cells 6 Gs Ade dle ok dw ees 27.00 
EMME C REAL DSP SCN pelos ack law acdiale osteo h ies oleae 30.00 
on) VRS) Uh Rie aide Sa 2 te ee re 208.00 
Peeper CMTS E AT Sec te DLO he obs oc sce ve ele ai seedetauers + 380.00 
Per meOUL Krad eal G00 as isle wed ae wee la sees 90.00 
dozen 10-pound cans fruits and vegetables, at $8... 936.00 
MINA TEMA 001 Oye cicie < aheis lie acdole sie se 6 cee 0 cuete 100.00 
SipLy mew 10-pound cans, at:$1:10..0.. ..5.6..000. 0% $2.50 
pounds permanganate potash, at $1.25............. 75.00 
Pu eraeeeIU OYE NOXCS, "CLC, 2.0... 0c cece ene enneecd 50.00 
ee MURAL CMMME MERCIA ls Geohs cs close lel va clive bbs bie ew wala ae 75.00 
UA SESS Ss GS Sas) 2 aE a a 330.00 
BRAD Ct ko 5g 5b stake esis y ole 4 vio blelibte @ibtove ls 125.00 
eM is Tee mor ge, aso 'e, six 6s ae © 0. 0 0"s, 5 Wren o]d 6 © ale » 9% 
SALVAGE 
eee eet Meg. lo con, can le 4 clcicie ves ee seen ste $ 664.50 
PUIG MeC See MERGE LON CCDLS, 5 bins sce swe ec e's pie siss ee ee bap 
SILC ETE) AS aero W 1 38 A 2, & baie pri gee ae Pes a aaa 42.00 
RES Mt IDIC GEO. US Da icroe soe) (s, < koe) eve ba bo 8.6 6 osele oe 8.2 126.00 
BP CME IIR CLS A GEO OSs cei ol c's leet Fs o5e o's 6 'o:0 5 ele 0S 438.00 
INES ERS a 5 As Gorter ie teal a eo 
TMIN SS 5, lai cy die ta wl eet IR re Pm cm 
ESE is cgee ac de Ae COC RCN SIO ea ean oe ware 
Pacem OW ClSea le OrCOltls. . ctdcete mete cicigcae asi 8s ss sere 8 « « 1.50 
MOLMeLOWC SMAUelD TCONUSs (oo 6% oe sce ends s siee ees 1.05 
tenet MEOMCCTI COPE ia eat hahe: evessrent eae foie a toaiiero'e Nel ease ie 78 618 2.50 
PEO reCicintred bro UeCODUG «cts sine oo eli cies eis oS. 0 a)s «#90 4.80 
MEPL) OCR CLT cl LS Meme cect Bers tafe Go's aio ialo iest oh ane pre 88 
ee ROL meth Ube 1) metre erent) Saget. re se aliove Gece wuss ale one lo~ ele 24.00 
Beat CLL LOG ALE Doki ce ict siote eo aie Mea clacets «cio aap © stele 6.00 
TELCOS SOG Mad Lesa GMeet eta cote ices, 2 onside eke 6 excels 43 0s ane @ a0 120.00 
PSEA RSD CLIVE SELL LU otc chore 6 ous ale) tare to sce. s oe he 8 are 30.00 
dozen 10-pound cans fruits and vegetables, at $8... 200.00 
Pissed Cm COLIOCLCO mre cocks cit hs eek sien stains sais + tuefale soap Ps 8,d00:00 
PEGS uM V 2h Cae ee meets fon ote eld ers one a ee OLS. diwl'e wllolansteiie ole! «pave aoe ipo) <ihp 


(PTA TTP Oh een Oh a) Sra eg eR PET cet 


Roemer O66. 78) (6.6 1016, 88 (O19, 6.0 0:18: 6) 16 See 8) 0. 6 ©. 0 6: 14-00 © Omen 6 @ 5 


$ 20,000.00 


2,725.50 
$ 22,725.50 


9,398.93 


$ 13,327.67 


38 . ANNUAL Report, 1918 


NOVEMBER 11, 1918 


At a meeting of the State Board of Health in the city of Raleigh, on the 
day and date above written, it was unanimously agreed that the following 
memorial be presented to the next General Assembly: 

Whereas, we recognize the prevalence of tuberculosis among the negroes 
of our State and the high death rate from same, and the freedom with which 
the negroes transmit the disease both to their own people and to the white; 
and 

Whereas the work of our State Sanatorium has long.since passed the ex- 
perimental stage, and has become one of the important institutions of our 
State: Therefore, be it 

Resolved, That we consider ourselves and the State under the same obliga- 
tion to the negro as to the white, and that we recommend for your earnest 
consideration the establishment of a sanatorium for negroes, under the same 
general plan as our present State Sanatorium; the patient or his family or 
friends, or the city or county or other agencies, one or all combined, to provide 
one dollar per day per patient toward the maintenance, and the State provide 
the grounds, buildings, and equipment, and pay the remainder, all of which 
is respectfully submitted. 

Adopted. _J. HoweEtt Way, M.D., 

Attest: President. 

W.S. Ranxin, M.D., Secretary. 





SIXTH ANNUAL REPORT 


OF THE 


North Carolina Sanatorium for the 
Treatment of Tuberculosis 


UNDER CONTROL OF STATE BOARD OF HEALTH 


SANATORIUM, N. G. 


1919 





RALEIGH 
EDWARDS & BROUGHTON PRINTING Co. 
STATE PRINTERS 
1920 





NORTH CAROLINA SANATORIUM 
FOR THE TREATMENT OF TUBERCULOSIS 


(Under the control of the State Board of Health) 


PERSONNEL 

MEMBERS STATE BOARD OF HEALTH 
ieeeredoOwELT VV AY, President.........2..-........--24------ Waynesville 
MMurenI mnt eles) 2 oe eee Ook Se ee ene Raleigh 
IEEE Wore a ee ae eee cele Winston-Salem 
Se TC Teh ee eek Charlotte 
Oller ANDERSON! 20.0.0... ee ek Statesville 
ferme ma nime © Hy LAUGHINGHOUSE-.-...22._-__.- ee ec ee Greenville 
PME Pe Sie so ao eee ee Roxboro 
Ree ARRIGs. 5. — “AA Gye 7 US rea a OM es Lar ee Henderson 
ime MOM PSON. 0 ne bee Jacksonville 


Dr. W. 8. Rankin, Executive Secretary, Raleigh, N. C. 


pum ee lk L. B. McBrayer, M.D. 
Peeve ouperiiventdent. 222... 6.-.0-. 22.22.24... P. P. McCarty, M.D. 
Assistant Physician and Director of Laboratories __.-_---- R. McBrayer, M.D. 
CMe S i ES TED RI EVSir  \So IS aE D J. L. Spromy, M.D. 
Private Secretary to Superintendent_____..__.---------- A. W. SNow 
Perey meee mer Pe ON te Miss Mamie O’KEtuy 
ee eee ser Nesistantere oles eo es ee lee Miss E. CoNNOLLY 

ap eieremee Maen ane oh Oe Cas. McCain 


EXTENSION DEPARTMENT OF THE NORTH CAROLINA SANATORIUM 
FOR THE TREATMENT OF TUBERCULOSIS 


Bureau oF TUBERCULOSIS, StaTE Boarp or HEALTH 


reo iren Un ee We so ee oe eC toon ee L. B. McBrayir, M.D. 
Peeiotantniet Ol bureal. ooo oe ie ee ee P. P. McCatn, M.D. 

iver CCrelar yr eee ee ee ee A. W. Snow 

SOUT DUCT fate aie wi ee a eee Miss L. THORPE 

ECMO sLAN Heres sete ot es Sah ene ere Miss L. Linpiy 

State Director of Public Health Nursing _---------- Miss Rose M. ERRENFELD 


Director Organization and Education Among the 
INGOTORS. fii E de5 nln OS ee te Cree eee er FLoRENcE C. WILLIAMS 


4 PERSONNEL 


STATE RED CROSS SEAL COMMISSION 


Mrs. C. C. Hoox, Chairman, Charlotte Mrs. R. C. WarREN, Gastonia 
Mr. Hamittron C. Jonus, Charlotte Mrs. C. Martin, Wilmington 
Dr. OtTHO Ross, Charlotte . Mrs. W. N. Hort, Raleigh 
Mrs. G. M. Finaer, Charlotte Mrs. T. D. Jones, Durham 
Mrs. CHARLES R. WHITAKER, Henderson- Dr. W. L. Dunn, Asheville 
ville Mrs. 8. H. Brown, Oxford 
Mrs. Mark QUINERLY, Greenville Cou. J. L. LupLow, Winston-Salem 


Mrs. J. L. Wetmore, Arden 
Dr. L. B. McBrayrr, Executive Secretary and Treasurer 


A. W. Snow, Assistant Secretary 


LETTER OF TRANSMITTAL 


Dr. W. 8S. Ranxtn, Secretary, 
State Board of Health, 
oberg nny... 


My Dear Doctor:—I hereby transmit to you, and through you to 
the State Board of Health and the Governor and General Assembly, a 
report, being the 6th annual report of the North Carolina Sanatorium 
for the Treatment of Tuberculosis for the year 1919. 

Very respectfully yours, 
L. B. McBrayzr, 


Superintendent. 





SIXTH ANNUAL REPORT 


OF 


THE NORTH CAROLINA SANATORIUM FOR THE 


TREATMENT OF TUBERCULOSIS 


UNDER CONTROL OF 


THE STATE BOARD OF HEALTH 
SANATORIUM, N. C. 


SUMMARY OF YEAR’S WORK 


OF THE NORTH CAROLINA SANATORIUM (INCLUDING THE 


EXTENSION DEPARTMENT), 1919 











PE GEOR SISITCCOIV CU Ye. wee ss oc cc's cle ec'e a see Be tacenecnaesenes 
Letters written: 
TYGEL GS GIRRAIICS toy. SEES SSS eae a 16,642 
PEAT Ae Oe ae. eels sis ba ccs cds Cusine peas 47,162 
Riere TNE Pe D  , Suasa gs Gate wal ols eimaels 
Articles written (approximate number words): 
SMe OT SS So ce, Aa eat a Pn a ee Po oP 45,400 
CE lS oe cd glade bo e's-4 4 eld ties Seve scare We’ 17,500 
CU THLUTEA OG GRU) O) aC NSOR 2 ene i ee one RR eae 20,300 
CUEINTELS ENE TRO’ a 78 YEE al an AI A eg A 31,900 
PEG CSeCO et eee ry ah alie seis, «, sine a sich a aie a Oe Geral 48,200 
NE Get MM ON SoM, ee aene ea On SPEED, 2 Urals gains eis whe towel aS sing) 4 did fhe 
Forms PPO MOL CALOUSEDLeDALCU War eias ehac de ase cial s woddeis cited Vitlere’s ateianc oie 
ora unumber copies of forms and: placards i...) Aes eee cee eo 
Blank cards mailed for reporting cases of tuberculosis................ 
Number cases reported: 
UD oS 5 Bese Weare a 90 Rp I aE Oke sO EO a ikea 1,294 
EEC ae ae eee Pe ae aS RIM R we IN Gs Face ec oiwldin ic 8 Ue ow woh Ae 1,012 
CELA LE RS Bio hae nce at iame cae ial loa rig dnote ace tehteso tat alive 4 IAS 
Literature: 
Bieces:sent tOwrepOrteds Cases . Gs tA ws whe gaits J viele alate ors wel 15,587 
CyEheriiterabure sent OUtagissae ss vat > A eitie voles cg letaeiass 124,459 





20,462 


63,804 


163,300 


451 
95,339 - 
4,338 


2,306 


140,046 


8 ANNUAL Report, 1919 


Mailing cases distributed oi). las 5.02% 58 ce heel tee eee eee een 
‘Sputum cups distributed: i. 26.2205 2s a. © eine deepens eee en eee eens 
Tuberculin sent physicians for von Pirquet diagnostic test............ 
Blanks for reporting results of von Pirquet diagnostic test............ 
Patients’ histories written (359); approximate number words.......... 
Envelopes addressed», .). 4. s.creades ave 2G ts Be eee eee ee 


Dr. L. B. McBrayer: 


Dr. P: PMicWain: 
Consultations with, county health officepazn sss ne en eee 
Patients, examined ‘at ‘Wilsons # i055... Seeger eee ee en 
Number weeks spent in special study, (x-ray and pathology of the 
CES) . sch ins nleuevis © Moedie aaa cll eee ee eR ARPS EDS We 
State prisoners examined for tuberculosis, Dr. R. A. McBrayer 
assisting .......0e. 0654 wee. on ke 


Dr. R. A. McBrayer: 


Addresses delivered..:.:...72 4.4.44 52) eee 
Total audiences... iis. ve. ok co fies ee 


Dre aor 


County clinics held 
Patients’ @xamineder.: ibis h Pr abiketarcns eee ete 
A CdrESSO8 fie uch ache dcdendea aha vcecee eokarlans cits oP ne ne ne 


Cet CA ae eat a Ma Be a a ea ee OT eet De eK Saat med eal Sel te eet T Th ee eit ee OA vietyemeoes o 5.6 


© ecel oP cotnvel so? fah to! af ia? ond of fal teh af ish ot Hel (ef set ph 0) Tol einen (ot et at atiell inf otilel ef al cal caf oflleaten Ts’ 


Cit Pat Ee eet Sok Tee a ee oe ee Se re eee re ce ho oO Otomo AoA GAA Asn G 


6/9) ee 6: 9 Ose), eo Ae) wire: He) Le! tie) oe: “ove sreyiiall algatiei-s le) eMle te eles, 


SUMMARY OF WorkK AMONG THE NEGROES 


Number of leagues organized 
Members. heh ste ads aula iiaapelessiacy ol aieylaaleelsaes the ote ete 
Meetings reported as held 
otal attendance yi.) 5 5 od ae a 
Total number addressed by supervisors on health topics 
Total number present at meetings Home Makers Clubs............... 
Total number reached by Mrs. Williams and Mrs. Holland in addresses on 

health/and ‘sanitation: 25.0. nit 0 0 aaa Aneel .g ae 
Total audience present at lectures 
Total number conferences 


© 9) 6; a, el Oe) “ase, fe, Tey e168, “0, ey tel ‘of wie: ay ley he, (ep eireg suisyies tells eliesh ce tiamnaal tts © 


oe Qe! ie: a: el fe ee jee iene! ve env (of .6) cl im: les [e” Jey 10.18: cece soyuve) ial elias tel a iemietaresenmemueula its iice) 


Pr Met we mch ye Cth ites 


© je Ko Wee jeise -e) 9 6 hie) (6 18) <@) ‘© <e.'e, ce) Je) ce ‘a <6 rare te ip is Kala ote ees 


6a: (a Je) (oe) Te je). 01 te. Te, ier '6) “sie: “ei tee \¢)\e, Meiey e: le, fo. 6" feltie: ete lanl e calle veltairelietrnina ita 


64 
120,050 
300 
300 
179,000 
73,509 


33 
4,625 
169 
91 


900 
18 


182 
14 
2,975 
10 


909 


465 
16,467 
230 
6,360 
84,225 
6,170 


29,227 
131,022 
197 


Tue Nortu Carorina SANATORIUM 9 
Exhibits: 

State fair; 
Southern Conference on Tuberculosis; 
Sandhill fair; 

12 1st prizes; 

5 2nd prizes; 

1 prize for best exhibit. 





Paraben pasients December, 1, 1918... cic ee ec eens sl 
Bremer a aPeM Le ACIOILGCC cca. cols oslo es ce bbe ee ences ec cy esas 311 
RmaomIOR PCTS CISCNALCCH.. ... ec eps cc tee ep tee ease ewes sei 299 
Number patients December 1, 1919 ~ Be Sa ROR eet Re al, Se RRA ite 125 
Sees CVS Ps ik be ees sks u ccs cseincuecogas 43,446 
emerIOFOprintiOn, MSINtENANCE),.. 6.2.6.6 ck ec ce ee ace ee eee 50,000 
emer nacient per.day to states. 7... cba cee cee ee ease uae $1.15 
Appropriations, 1918: 
eer emma ete OL ss cla vb ede dé Qandd ba vids iva 40,000.00 
(Oe TUESTEIOIIEL oo uaosd gots dic i oan all) Ml gO ga 10,000.00 
ei BA Arde Pace Fae SE io bale Lae ce a HORS Cees $50,000.00 
Lives saved as against previous year, 91 at $4,000................. $ 396,000.00 
Cases saved as against previous year, 728 at $2,400................ 1,747,200.00 
AG ES iene wv ee ce lp ee td vile s weeds $ 2,143,200.00 
50,000.00 
Sieh jureatil) ave 001 a _.$ 2,093,200.00 
Appropriations, 1919: 
“UPON WS 5 ol Ae $50,000.00 
SORE HEYESUWOED. | co Gig ah AME ewe Ra RE a 14,000.00 
TROY! ek cue See RS Be rah he ea $64,000.00 
Lives saved as against previous year (estimate on statistical report), 
TTD BER GOD, Te ee ok Bi Bes cea ha $2,000,000.00 
Cases saved as against previous year, 4,000 at $2,400.............. 9,600,000.00 
$11,600,000.00 
64,000.00 
CCE OOP Ole LODO tearciteas Waite co See Volk cota: oc Geb ole: <n tate aha o°# see $11,536,000.00 
EXPLANATIONS 


(The value of life fixed at $4,000 is taken from the economy tables of Prof. Irving 
Fisher, recognized as standard in the United States.) 

The loss attributed to case fixed at $2,400 is an approximation. Prof. Fisher 
places cost of average case of typhoid fever at $400, including those who recover 


“10 | ANNUAL Report, 1919 


and those who die. The period of total disability is not above three months in such 
_ cases. The period of disability in tuberculosis is certainly six times as long as in 
typhoid, or one and one-half years. The economic cost of each case has therefore 
been approximated as six times that of the typhoid case. 

The Framingham demonstration has shown a ratio of eight cases a each death. 
In arriving at the reduction in number of cases it has been assumed that the reduc- 
tion is in the same ratio as the prevalence; that, in other words, for each reduction 
in number of deaths there is a corresponding reduction of eight in the number of 
cases. 

The economic value of $4,000 placed upon a life is figured at the height of pro- 
duction age, 30-35. This value was arrived at several years ago. At present stand- 
ard of values this figure probably should be put at $8,000, with a corresponding 
increase in the cost of each case of illness. 

The cost of funeral expenses is included in the item of cost per case. 

The item of future infections prevented would, it seems, be included in the item 
of reduction of cases. 


(R. B. W.) 


REPORT OF ROSE M. EHRENFELD 
FOR YEAR 


DrcEeMBER, 1918—DrcEMBER, 1919 


Correspondence: 
eC te CO Sc td Ald ae fod d dade wales De eks 920 
Sent...... coh lp love So NBN eG ge Sg ae Re CA 1,502 
HP aeA et CROMICE, i. viural sg evs aac Bls soa al hah Abe eae RTA Se RN Pato 48.5 
Time spent at conferences, etc.: 
Southern Tuberculosis Association, Birmingham, days............. 3 
Stavensocial wervice Conference, days....... 00.0.2 ese cence eens 0 
Institute Red Cross Divisional Directors and State Nurses, Washing- 

OM cg ise 2s ems a ais a + « ardivlign alneibrmrs ne dies 5 
ere OUlEY COUNCIL, GAYS... oo ca cc cn ees tieutidiepelaelens sone 3 
Southern Tuberculosis Conference, Asheville, days................ 2 
Ge Fees 1 SCOCIALION, GAYS... 2. bb esl ee eee ng oe ee lees 1.5 
National Tuberculosis Conference, Atlantic City, days............. 2 

a et rr ee Sy cles ha he ees eo to ere heen ize 
‘Lime spent for County Tuberculosis Clinic: 
MUI CeetNOMC MO AVS oo cae ce ce hee eh ewe de eee eee ee 2.5 
honmecutyeaccunies Randolph County; days: . 2.2... .aceenesbe dees 8 
ee I ee Ae apd Ba gs he d's Hes Deane 10.5 


(120 examinations, 25 additional appointments.) 


Counties visited relative to county development: 


Moore Orange Hertford 
Montgomery Caldwell Granville 
Iredell Burke Edgecombe 
Yancey Macon Cumberland 
Scotland Cherokee 

County Nursing Service committees organized: 
Randolph Tredell 
Burke Catawba 
Yancey 

Survey of Nursing Work: 
Spray Winston-Salem Fayetteville 
High Point Charlotte White Rock 
Wilson Raleigh Rocky Mount 
Statesville Durham Oxford 
Asheville Goldsboro Ashboro 
Greensboro New Bern Greenville 


Rockingham Wilmington Tarboro 


12 ANnNvuAL Report, 1919 


Reorganization of town nursing service effected twice, releasing work from charity 
organization control and placing under direction of a mixed advisory board. 


r 


Nurses placed for Public Health Work: 


CouUNTIES Towns 

Granville? cxccanhs Ai ee te eee 1 Raleigh oi aie, Sis ee ee 2 
Walson’. css ch mice sites ee ereeenene 1 New: Bern. 44-268) os See ee 1 
Catawba sano. coer oe ice eae 1 Statesville <0. cae eo ea eee 1 
Swain vaerise ls. A oe aie eee | Goldsborosi44% ses. Ree eee 1 
Randolphestrcinas see he ieee 1 Charlotte (City Supervisor)......... 1 
LBL AAP AAMAS 3/1 MMR EME ea tol 2: 1 Winston-Salem (City Supervisor)... .1 
(New Hanover) 

(Cumberland) 


Scholarships secured for course in Public Health Nursing: 


Metropolitan scholarship: :42757 >< 22 (ge ee ee 1 
Red. Cross scholarship: 6. 0.023 )...)5 5 See 4 
Potals: 26 fo0 bh ee hoe ee 5 


Nurses at present taking post graduate courses on scholarships: 


At Richmond (S8..S. W:and P. Hz): 22.2 eee 3 
At Cleveland (W. Ry University)... 22. > een eee 1 
Totaly: 20208 6b Le ee a 


Financial support secured: 


Salary secured for nurse for Chapel Hill. 

Salary and transportation for nurse in Randolph County. 
Salary and transportation for nurse in Iredell County. 
Salary and transportation for nurse in Burke County. 
Salary secured for nurse in Yancey County. 

Increase in salary for nurse, once. 

Money for car, once. 

Money to continue nursing work, once. 


Nurses visited in their field: 
Five doing county work, and 
All others doing town work, and 
Most at industrial centers and 
Working under church boards. 


Time spent in the district with, or in starting new nurses, days................ 39 
Supervisory visits to nurses in the field (. 3h) 1, ee 36 
Grips furnished visiting nurses (Swain County, Raleigh Wilson)i= eee eeene es 3 
Supervisory visits in homes with district nursés...........0......:.++++8..s-- 86 
Other patients visited (reported tuberculous or suspects)..............0.000e 10 


Tue Nortu CaroLina SANATORIUM 13 


Papers read: 


Southern Tubercuolsis Conference, Asheville............ 0.00. c cet ee eens 1 
pater CUT Ses #ASSOCIALIONG Nas Goss 2h. LSU MeL aes DME U Settee ie eve Me tele if 
Conference of N. O. P. H. N., A. R. C., U.S. P. H.S., and Met., in Cincin- 
TAL Latin, SOM rae. Sidcs bt Ps Pea BIO MVE A Wie AS SADE, Si heia ste Waseem res 1 
et N PeUIe GP OOCIO! Ven rie eer crgr he eed «SRT au) ohare be se. 8. w Rhyehatfs oe meds 1 
arate ew PR ete a Eo gh char neditace Styl A cinim a(4) e/a te ton ace Ramee uy 


Articles released for publication: 


University News Letter; 

State Health Bulletin; 

To the National Tuberculosis Association; 
Leaflets and newspaper articles; 


Talks made: 


Metropolitan agency staff and nurses; 
Southern Tuberculosis Conference; 
Groups of school children (white and black); 
High schools; 
State College for Women; 
Biddle University (colored); 
Teachers’ Meetings; 
County Teachers’ Institutes; 
and Meetings of — 
Aldermen, 
Community Leagues, 
Woman’s Clubs, 
Betterment Associations, 
Civic Leagues, 
County Commissioners, 
City Nursing Staffs, 
County Farmers’ Institutes, 
State Farm Women Institute, 
Red Cross Chapters, 
Executive Boards, 
Home Service Committees, 
Round Tables on Public 
Health Nursing, and to 
County Health Officers taking 
course at Sanatorium, and 
other public meetings. 


Demonstrations given: 


Pia icTdemonstranonsdor intant 16eGIng... sos. e. see. ois tae cote eaeareeer 2 
Classes and demonstrations for county home demonstration agents......... 7 
MOReCOUPs Ole Mo tiersca tesClOOlS. yr ets olsrerats Wyre eka cette ars «toronto nae tetoter te 4 


14 ANnnvuAL Report, 1919 


Formal conferences held: 
With Red Cross Home Service Committees; 
With ex-Sanatorium patients; 
With chapters regarding county development; 
With different organizations regarding re-organization of ore ete. 


Other service rendered: 

Assisted 2 industrial nurses (request of cotton mills) in starting work, planning 
records, etc. 

Served on tuberculosis committee of N. O. P. H. N. 

Served as State representative for N. O. P. H. N. 

Served as chairman, Public Health Section, State Nurses’ Association. 

Ran course of instruction for all County H. D. A. 

Secured co-operation of State University, through Extension Department of 
which literature of N. O. P. H. N. will be distributed. 

Circularized nurses in the State announcing literature available. 

Circularized nurses with leaflet of N. O. P. H. N. regarding special courses. 

Outlined health program for woman’s club. 

Got two nursing associations to adopt standard records. 

Held round table at State Social Service Conference. 

In addition, visited 22 town or county health departments, 22 schools, and 
referred credentials to 50 sources of inquiry for nurses and referred 30 
nurses for positions open. 


Metropolitan: offices ‘visited ... 2.05%. 3.25. 0 ee 17 
Statesville Goldsboro Greensboro High Point 
Charlotte Kannapolis Raleigh Wilmington 
Salisbury Winston-Salem Wilson Rockingham 
Fayetteville New Bern Durham _— Asheville 

Oxford 
Visits to Metropolitan offices: |). ss a. sa.nat cena Nee fs oo eS ety 36 
Conferences with superintendents, deputy superintendents, agency staffs and 
TUISOS . 5 ob adelante we o wd we a Piso eo elee soe gE el a ee en 24 

Talks and open’ discussions on such oceasions.... > .).msue seks ee ee 13 

Metropolitan field supervisors’ card or letter reports sent to nursing service... .20 

Metropolitan literature used in connection with class and demonstration work. 

Metropolitan patients visited in districts with nurses.................... Soe | 


Rosrt M. ExsRENFELD, R.N. 
State Director Public Health Nursing. 


LITERATURE OF THE BUREAU OF TUBERCULOSIS OF 
THE NORTH CAROLINA STATE BOARD OF HEALTH — 


TITLE OF BULLETIN 


Bulletin No. 41—Tuberculosis: The Great White Plague. 

Bulletin No. 36—Tuberculosis: Its Nature and Prevention. 

Bulletin No. 39—Important Facts About Tuberculosis and Your Chances 
Against It. 

Bulletin No. 56—Tuberculosis: Its Cure and Prevention. 

Bulletin No. 61—How to Care for a Tuberculous Patient. 

Bulletin No. 70—TUBERCULOSIS: (A.M. A. Bulletin). 

Bulletin No. 92—An Act to Prevent the Convicts or Prisoners of North Carolina 
from Contracting Tuberculosis. 

Bulletin No. 117—Tuberculosis: Its Symptoms, Prevention and Cure. 

Bulletin No. 129—County Tuberculosis Problem. 

Bulletin No. 157—The Problem of the Returned Tuberculous Soldier. 

Bulletin No. 1000—If There Is To Be Democratic Equality of Opportunity There 
Must Be an Equal Opportunity for Health. 

Bulletin No. 1001—Murder! (Perfectly Legal.) 

Bulletin No. 1002—Carry On. 

Bulletin No. 1003—Fundamental Principles of Public Health Nursing. 

The Next to Go. 

The Story of Four Generations. 

Is Your Muffler Working or Your Cut-out Open? 

They Are Dead. 

Camouflage. 

U-Boat. 

Why Tuberculous Person Without Funds Should Not Leave Home. 

Pessimists Fall Out! 

After the “Flu”? What?—“Watch Your Step.” 

The Incidence and the Importance of Pleurisy in Early Tuberculosis, by Dr. 
P. P. McCain, Sanatorium, N. C. 

A Plea for an Earlier Diagnosis of Pulmonary Tuberculosis by the General Prac- 
titioner, by Dr. J. H. Way, Waynesville, N. C. 

The Diagnosis of Early Pulmonary Tuberculosis for the General Practitioner, 
by Dr. S. E. Thompson, Carlsbad, Texas. 

A Modern Prophecy, by Dr. Benj. K. Hays, Oxford, N. C. 

The Infectiousness of Tuberculosis, by. Dr. T. D. Coleman, Augusta, Ga. 

Importance of the Whole-time Health Officer and the Whole-time Health Nurse 
in the Campaign Against Tuberculosis and all Preventable Diseases, by Dr. L. B. 
McBrayer, Sanatorium, N. C. 


MEDICAL REPORT, 1919 


STATISTICAL 
Number patientsto beireportedron 24... ane ee Re FN tes WEL 268 
Number’ patients not’ tuberculous’. ©0225. ee ee ee 14 
Number patients'not: classified... 07. &. Sco Bete ne emer eee ee 6 
Number patients in Sanatorium December 1, 1919772 ia. eee 125 
Total number patients treated ‘during yearn. sae eee 413 


32 PATIENTS WHO STAYED LESS THAN 30 DAYS 





























Condition on Discharge 
Condition on Admission 
Arrested apparent Quiescent Improved eaiat Died 

NCI DICNibeeewes saan ae ae 12 0- 0 0 12 0 0 
Moderately advanced_-_-13 0 0 0 13 0 0 
Markad vanced aes asa 7 0 0 0 1 4 2 
Acute tuberculosis___---- 0 0 0 0 0 0 0 

ote lsaeeeen ee peel 0 One 0 26 4 ceh9, 

Average stay, 17.7 days Longest stay, 29 days Shortest stay, 2 days. 
Number Gained Weight, 20 Number Lost Weight, 4 

PACVCT ASCO Ail sae se ee eee = eee eee 3... Libs). Avera sed oss ee ee Demos 
argest galisis tate < eae eee as 12... Lbs. | uargest losste2== eo 3.5 Lbs. 
Simallestirarinm scene ae ao ae eee eae 5 ibs... |) Smallesty] 08s ee eae ere ee 5 Lb: 
Station ar yi ees eee ee ee eee 2.1 Not- weighed Says ae eee =e 6 





39 PATIENTS WHO STAYED FROM 30 TO 89 DAYS 


























Condition on Discharge 
Condition on Admission ; 
Arrested Sp eee Quiescent | Improved beara Died 
Lneipientecevestec-se- <2 10 0 0 4 6 0 0 
Moderately advanced___13 0 0 4 8 0 1 
Man advanced ss ese s2see 16 0 0 0 4 10 2 
Acute tuberculosis__----- 0 0 0 0 f 0 0 0 
Totals ee eee aes 39 0 0 8 18 10 3 
Average stay, 59.3 days Longest stay, 87 days Shortest stay, 30 days 
Number Gained Weight, 24 Number Lost Weight, 15 
A VOTAGO PE Allicsstosu te eek eee ees + 8.8 Lbs. | Average loss: -_2.ch a, oe 5.7 Lbs. 
ar gest Cain 6-2 see oes enereem ae ere eee 26.0 ibss.| liargestilosss.2 2 saeco ene. eee 16.5 Lbs. 
Sma llesty oa rine see eee renee eee 1; Lb.-*| Smallestilossss2-2 00. 22 eee .5 Lb. 


Stationarycin-s se oon eee eet eel ee 0 | Not weighed ._-..22.. 22. 0 





a 


Tue Nortu CaroLtina SANATORIUM 17 


197 PATIENTS WHO STAYED 90 DAYS OR MORE 





Condition on Discharge 





Condition on Admission 











Arrested A eens Quiescent | Improved Etec Died 
Linover Ges eee 62 8 33 14 6 1 0 
Moderately advanced--__81 0 6 53 15 1 
iHariadvanceds....- 32... 54 0 1 15 15 20 3 
Acute tuberculosis___-__- 0 0 0 0 0 0 0 
Totals Ba se 197 8 40 82 36 Pf 4 
Average stay, 199.4 days Longest stay, 553 days Shortest stay, 91 days 
Number Gained Weight, 158 Number Lost Weight, 39 
Pyeramerraine. ==) 2- 42022)... 22---2--- SOC i Piybaseb A Vorage OSB. a. weno s ts ase sas Ssee eens oe 8.1 Lbs. 
ioansestiealaess sks 220) 205k ee HOS Ors DSrela bareestt OSS sees sass aa ie eee © 26.5 Lbs. 
Simsllesteraitiess-se0 5. 2 S20) eke ee LD menor aleStHlOSs: aa See wee sass Sd 2 eee 70 ube 
SUATOMUT yas sate eee ee fee LS NOtwelg hed’: ess ea pease 3525 ssa ee 3 
HISTORY OF HEMORRHAGE 
ENG et Gi. C Meme nm te meee ee So (Me 6 od Ce ete ee te 148 
> (Previous GUly tenet on sents sack loan tienen 102 
Positive { Previous and during residence______..__.._._------- 10 
Durinyuresidence sony s.se=e sete eee ees eee 8 
ARGUE ee eh FO es 0) a ee ee ee ees ieee ene 268 
RESULTS OF SPUTUM EXAMINATIONS 
INR auVierOr 110 SP UC Uist saree see ne er eae ee eee 154 
(On Moh swalT-) heb epee & ah (pda stereen Nanbaae ge rine oe heya lin ses aie Tt7 
Positive 4 Duringresiden cers at cab osae Sb eeee le cues ee sce 103 
RO mic ech arr ewes teen ere cr Den Nar Peae aN ANE 96 
1k Ct] eee nee ener Seer scat on ne. en ne a ee toe 470 





23 PATIENTS WHO TOOK THE TUBERCULIN TEST 








POSITIV. OS ete ae Pee eae eee oe ee enc tee Soe ease 9 

TSE ase Ses sed kT 5 Bk a Ee el Se ee eee 14 

ARS Mg eR BEN Se wee SAS ve BS le gi apa tg 23 
Age Civil Condition 


-19 20-29 | 30-39 | 40-49 | 50-59 60-++ Single | Married | Widowed 


‘i 


18 ANNUAL Report, 1919 











NATIONALITY 
‘Americans.:..2.. 2.02. ache Se ene 268 
COMPLICATIONS 
ACULS. NEPOTIUIS. (pease aeee as 1) Hookworm 2: 3-saeee eee i.) Otitis media’ 25sec eee 4 
Ana bistwlasess- settee esos id) By perthyroidis:mess see 3 | Parenchymatous nephritis_--_-_- 2 
Arteriosclerosis=-2- 022 == 1 | Hypertrophiccirrhosis ofliver 1 |) Peritonitis2-22-2-- 2222222222 2 
Arthritis deformans_-_.__.--.--- 2)| ln ftuenza 222222 55-2 Sali Phanyaiotis a= ae eee 2 
PNG bins een er ee ee ee 1°) Iritisl :!23 22 eee 2 | Pleurisy with effusion____-_--_- 1 
Bronce hiectasisascsss = ose see 2.) ary ncitise ae 25 |p PrConanCy ss. -. San 2 eee BS 
IBrenchitise- + = 2.28. aenenee 11) “Lain? abscess. 24a (ePyopneumovborax sa === iL 
Broncho-pneumonia_--_-------- 3.) Measles2c2s 22h: ee ae 1S Salpinertis.3- > eee eee il 
@hicken-p0x. 22e0. totes a 3°). Meninettise) = IseSepticuarthritis= sees 1 
Empyema___.._-.s2<. Retr ee 1 | Misearriagest Se eee c= 14 Torticollis. 2. 2 eee i 
Hndometritis=.] ees 1 | Mitral regurgitation____-___-_- 3 | Tricuspid regurgitation_____-_- it 
Winteritis. 22 see cee pee ee Bee 11) Mumps :--2) 2 eee 1 
OCCUPATIONS : 

IAnito mechanics. 2- 2-2-2222 ee es to 1-| Movie.operatoers. ere. ee eee 1 
Barbers... -222 2 9 ses. Sete. ae Nee eee 4 | NursésseiéesaeGee 2 ee ee ee 3 
IR OOkKeenEeTs2- 425 ees et ae ere a a 3.| Painter:=.2-. 3550 ee es ee ee i 
@albine tania Keren wee none tye geen ea eee 1 | Printersc2.225 2 2 
(Glee T hate bh ieee nthe LO Cee Se BM Rt Ds Sk 12) >Radiolocist====— sna son inn =dewaneet = apie renee 1 
Cigar-makers sae Ps se ee ee eee eee S 2. | Ratlroadsclecks' ete ee eee 3 
Clerks inistorés toe aon eae a eee cee 133) Railnoadicondueto ri ae ee 1 
Contractorandsbullderies ssa ee =a eee ee 1 | Satlorleiec See Sees 2 1 
Cotton mill employees 223.22. ee ee 11. | Salepladigs > s-322 stress eee eee Pas ays 4 
Dressmakers. ens coe eee ec ee ee 1) Sawannaal lara eae 1 
rie cistse see ees ee eee a) 25) ee eee eS 1 | Secretary Chamber of Commerce__-_..------_-- 1 
HLeCCricia nm set eee ee ee eee 1.) Silkmillloperator sce. ae eee ik 
Eingineers______- oo stl Wl tN ope cee ee 2.| Soldiers 22 Se ee eee ee ee ae 26 
UX DTCSS a PON bette sete ates steele Come de a eee 1x| Stenographe nsec see ee oe ce a ee 6 
Har mers 2 652 2c Sete aie ee hee ee eee 32. |- Students S25. see fo ee ee See 19 
General manager merchandise store____-------- 1.| Teachers: 2224032 ee eee ee ee ee 9 
Housekeepers 2: sa sate irr settee ee eed gee 18 | Telephone superintendent_-_-_____- RS eas eS 1 
EL OUSE WAVES 25. Core tee oR ee 78 | Ticket awenti22ee eee ee eee 1 
Letlenicarrier 222. eos eee 2 ee ee a es 1.| “Tinner:.22 Scceuaee eee: eee 1 
Locomotive enginecr=...- ee ee 1 |-Tobscconist 22222 eee ee ee i 
Merchants. 3.255) 55-. aoe eee | eee eae 2.) Traveling: salesmen =. ssa eee a eee 2 
Milliner i222 25 ge ie ey eee Ree ee ee L:| (No-occup ation zane ea ee eee ee 5 





Tue Nortu Carotina SANATORIUM — - 19 


TOWNS FROM WHICH THE PATIENTS CAME 








PA DerdeCCN 2 7..sc0-5 0524 6-c--- on, Da yCara Wen. seed. Mee ornG ge Je lpINOrwO0ds 2.2625 see eae eee eee 3 
PSODEREOS sco ct oe hs cat Zi Cramite Cuarrycose ce. ents Oriental} V2 et eee 1 
PICK Ani Cereeenme ceo soc Wet 2REGrantsporos: se=2e. ae ae Me OSHOROY C78 sac on en eee ee 2 
Pen OMee=e se ls ee Ie RGreensboromens mate ane Oireschland’ 22.2 t0 ei eeeeae 1 
DOV LS RG ae See IPE Greenvil lees os. eee arene {ibilet Mountaincc 2 eee 2 
AGES 8 RCTS ee ee ee [SE amp vonyilles ess sear WiyPinelevel Zwises 2.4 eee 1 
[SGT Tan ey Rang nena ipieitatterasseoeer es See © DP tea feet a ee a ee eee % 
(Serpe ZRIPILENGersoneteeee yen = ere Dl Olk toni: ea. =e. ee ee 1 
OU S0S) A fs Bis ES oi Res te Sy pp i ae ara tie Bowellsyiliecs.. ..-seeoeoee see 1 
ancsiuOwmMersiees ae TY! ie SAP GENILe 2 cate eee ee Lp Ralerg heees a2. oye enn ee, 7 
USCS yee ee a ae eae at Mechel Onteniente eee 4 WAReidsyitie. 2 ee ee Y 
Peesnemer Citys. 2._..-.---< Peel a Store fe ee L | Roanoke Rapuls:-. 2 2 
LByetorny al lO es en ee a i eEbuntersvalles 222 2. ase We b ARoyel so ayed eV W ans py seen a 3 
LPL GY) 100s a ga fhipacksoncs @necks ener no = tock yao Gitano eee 4 
PS TOWN Gee a iMiedamestowne 2 o=2-0-. fee eee Te oselinllaeseree mers: eee memes 1 
LOU) og Si ee eee Peedi AOSV LLG 2 oe eee aoa ee U) Rowlands ot eee eee 3 
Beare recite LSA Ka cg ellie goa, 0 Repeal tee A Ail pele a DR OX ODCLIs ce cow eee ree 1 
LETS 0S Ao u ee el ee SHIMICINStO Nee See ee ted een Sheehy Us kee eae ne CPs Re eer Sar 1 
a CES et eS San i lean DUT eee see eee soe ne BS lgwinns Ustas olet ee See ae 1 
WO RUMED Sesh Se Sa ital aw ale ee ee, ee @ Ste Parole 2G: coat a sees eee 1 
etree TOCI =o 2 Lemon Springs ive... Li Salsbury. 2 -yt ee eee ee f 
O12 Il Cae A ea a Spero see ee a ee ce ne So alicia osae ke eos ae tee eee 1 
CASES > Le eae pial a Micexine tonnes eee fe eo 3 Santord 2s. e2e = eee ae eee 3 
as Outre tere 5 YS BATE rach 8 1 Bsa ea i ey at Di Sea gr overs 2 ee aa, Gees 1 
OTIC ao oe aia eeu. i ielancolnton-..- ee ee tit Selina ss 2 3 ees a eee 1 
@olumibiguss see eee 8 {plelerctletona eee = eon te ee DUE SeveDs SPLITS ee ae eee ee 1 
POMC ONG Sf o= ees Pesce enn. oh We eOUsOUT ge wees ae ea se ee Pea lottee yaya eee eee 1 
(or TESTE) Waly) ae eee ee Dim baIMert Oils See mhooe< eset 2 MDlCl bye cents oot ecee oe ee eee 1 
UDG at a Pi Mestdenvillers ee es: Rp pilOani asses een aa ere geese 2 
ate plce eee ee ee Hay Macclestield: 28s. ue aT Spencers. 1 toe seen ae ee 1 
Pere persOtise eee es ye MEME oNGUAs et eet te i iP Spring Hopesees eee see 1 
SOUND) ee ee Aa Wavigtive ts Sauce ot eee ste ee i iStantonsbur gees eee ceeee 1 
SEAS (ae BO EE cars ee 2 a A See De SL OC ATION. 2c oa see he 2 
US Pie hl SE NTO 1 eee cae SS PMCS SON Ce atic 2 ah Alle SOE, eres tage Oo SCeMOre as ees ss ase ee 1 
OA eee eyes ot AN NeM idl arid Soe Irets. 2 eo ges | 6 lan oboneyile: se tcaxestet es ceses 1 
LONG A VePENELLON soe ee Ce SPAR Oe betg Sun burst.2scsses<ce een noee eee 1 
Pe ur Nam ses 2 foo. Pel pyLittone fee sono bes. ees oe Til elarboros 0.2 sat22 eee ee tes 1 
Mizabeth: City... 23... -eused- SHC OnTOC=eee no ee ee A RW adews.. soc se ae feces 2 eae ees 1 
NG DE pe nt a ke el i aMiooresvilies..<2 2. 5 ee Tt ie Wadesboro]. 222. -=-.e aes 1 
TESS oS Se ee ae WitMorehead Citys... -_— seat So IMAVACGVilles. sco scan se cue arraarnate 1 
ULSI ae a ra PibMorgantone ose... ibWake: F orestss. eae = are 1 
DSSyrira a ga GU GY py le eg et AE Ie Morvienteeeees ole aa mee ke TeleWashinetonmes soe sae 1 
MOA NoLeWlO gcd Shi MOUNT RAIT yo eee e cock ek a choW a x Naw. 20s 2. oat Se 1 
or eysOlWe meee es ok oe i Mount Olyerere weer ese 2 {eWest. Duis ins.c. eee eee 2 
Lt Sen 22 ee ee” THEM urtrecsborOso-eut cceats aes ic Williamston Soca ese. ase ens nee 1 
Srariainest ek sot 8 SRC oe tee MUrp yes ots. beeen eto eee 2: te Wilsoneesc. foc: mee a eee ee 1 
CLL Ne ay SERN GwrbOnles]. uo. 55 ene oe 1. aWindsors =: eee eee 1 
“EAS RES SS re ey ge oe eae Te N owidiil ee et a Sere low Winston-Salem 22s eeeeee fi 
EWA SLOLE Esc operant Me td el pe Lt MNew porters eee aes tie Wintervilletses. sees oee eee ae 1 
Coldsbor ots ates eee Se se, Si eiNnewton Grovesse- t+. 220 2e ee ad kinvil lesa eneeee ee ee eee 1 
eOriaiiees 9. Ate) deme eu oo Tel Norlinads= seseeesseeees ae ae 1 








20 AnnvuAL Report, 1919 
COUNTIES FROM WHICH THE PATIENTS CAME 
ALGIN AN COsce toes. eee ke nem ee a Wil Forsy th =... 23 eee (EL Pasquotan eee a soe. = aes 3 
iMerandern tia aese. see: 2 1 Beantdin’*2. 2) ee LE Pie eet ie Se ee nae 4 
PATISOD aces ste son eee e eee 4'|, Gaston.2 25.22.02 eee Obl SPolke eset Sareea eee eee 1 
PA SI Go tere een ee SS Meno 1) | Granville 222-2 45) 2 Rand olp hess eee eee D 
AV ET Yee t o 2 Ot. een eee ue 1)}; Guilford)... = =5- ee eee (68. Richmond === === aaa 3 
IBCall OTteses ese Cee ae ae 2) alta x52. 22. bt Robeson =e. - = aes ao eee ee 8 
Berties ere tence ae ee eee 4.) Harnett. 2325. =the GRIEECOC cin ha Tree eee 3 
Bladentees: 262.0026 ee ee 1 | Haywood 22.) =e 1f)Rowant se: ee eee 4 
Brunswick ee ee ere 1} Hertford <.4-22 =e (ei pRuthertord sees ssn =e 3 
Buncombesessssce ae eee 2}| lredell 2-2... eee SHILOa IN DSOl se kaa Lee eee eee 2 
BUT kes eae eect ae ne Bae ae 1) | Johnston. 2.- SR ESCOLLAN GC soe ase ee ered 
Cabarrus see sset eee ee ee 4." Dee 22.2 0S5. eee AP Sta ly oes coo gee ee tere ee ee 6 
Caldwell. Saetete eee eee 36] Quen OTe. 2.2. ee eee eee eee SB oo WET. oe eee ee cee eee 10 
Carteret See ee a ae ee a 43Lincolns-24. eee. Dal et vrrel l(t reece eee eed eae 1 
Caswell t2s!- os eae ae ane Sete 1) |eMaconssts i: ee ee 1h jp Umionts oe. cu eer ce eee 5 
Cherokee? cs sae oe ee 3, eMartin = 2. S22-c eee wee DET DV AN COLE. = Sena ee ee ee 5 
Gleveland 222s. -3e es) eee 65); McDowell- 222. TE Wakes oe ee ee ee 9 
Graven see 2 25 5o Ne Sore ee ee Mecklenburg s2s. seo aaa 128) Warren = 323825. 2 a eee 1 
umber an caesar eee 13t\v Mitchell =22 325522352 eee 13 SWayners. <2. ee ae eee 8 
HI) 7 Cem Ree ate eg A 2 ye ae Dee 1ieMonteomerye=s-s2eee eee Qe Wilkes. aed. ee ee ee 2 
DaVidsOnw ee tss eo ee ae 30M OO0TCl2- 222222 oe ee Daly Wals On 222 22a ree eee 2 
DMDLID Sees sarees See 211 Nash. 20.3. ee eae Of, . RO KIN 22 cen auc eae ae eee 
Dutham ese ees ae ee OS SNortha mp tomes see Til Unknown..2.o8 2-6 een 3 
Hdgecombes ease ene see eee 60); Bamlico te 22 ae 2 
OUTSIDE PATIENTS EXAMINED FOR DIAGNOSIS AND CONSULTATION 

December. 2. Sa22 33h ae 18} Aprils: - 22:2 eee 660iFAucUst.-5. eo eee eee 60 
VANUALY caecce=t = fas sce eee aeene 435 (May.822/ 22.2 eee SORE September=-o esa eae 192 
Hebrulary2sssae eae eee AQ: | Junelss4c222e eee 67 Ef Octobers2282 052 a ee eee 87 
March == e2ec-o sees es 105) Julys..42.s et ee eee 400 PNoOvVember ee eeee ee an 144 


Tue Nortu Carortina SANATORIUM 


SUMMARY MEDICAL REPORT DECEMBER 1, 1918, TO NOVEMBER 30, 1919 


Patients admitted: 


IN CUDICT: t aa ee ee Me een Se ee eee we ee So Sgn ee tee 100 
MMroderatelysad VanCed sss sae ae ae ere ee ne noe ae oes oe. Se ene ne Rona ee 117 
AAC A COC Se tines er nae ee ies Oo aces Seah eee gt ime re ee cock ad Sune elas ee eoee 72 
OmnG Lasnin OU Samar e on err en age Jot ok ee eb ods Wek eesusuece cutee tl teei se 4 
IO DELOS Omen een te mes eee es SE oe a ee ee ely ee Le ee a LS i Cees 9 
SEU ats a ON By TEER Sg VRB a os 5d ae ey Bae Eee I Re a a Se pO Sanh SIS 5 

eA Serre a, 2 ee meee SO No he Scie we dc waesi ches cee woweulaees suaehos on 307 


Oa cee ee, oat ee mee ee a ot hs ai Wr SEE was eae Souy Lona eee we = 8 
OD AnCIUlvAATTCStC eae ee cas te ee we ee eRe ets AEE) aL ae ot re ee ee 40 
UES NS oie Se pene ee eee RON AT aete Se, Se ee bey BS Ok, Se a eee 90 
Bi OV Ob ernest eae ee toe ee ee ae Se Ae a ol a sha cu ee 80 
HEHE TOT Oye Clee eee ne me anes ee eS Soe Bey eee eg Nee ee 41 
ees enn See ae eran okie oS bo ee ere oe eae eae 9 
INFO URED ERCUIO U eee: eta eee Sw ee Ae ver 2 hw ee oe ee ee ee ee 14 

INO GECIEICS (iC Clete nite net 68 Jot enn e ine eh tt Fae ee oe ee Oe ee 6 

LNG) G3) Mee NN eit ee SL RS ee eS a oe eee 288 

Soa ertiall lage pe Se eee ee a ere, ea Sea Foe 43,446 


LABORATORY REPORT 


SpUtace Wi kss) eee m enor noe eee 8 ere ee eee hee Nae A 2 Sdkcecoket 1,417 
(Chasis) is ye) 2 Vaan, ot rete Ree AN 4 tahini ehey Connie ag he ths ae A aa Ln ig et de al 245 
liiiralysisca (Vi iicss)peeeyeesnt 7 Sic, Shee ee NN ee Rance eee eee. bon, 476 
(@ RSs) Swear eee a ee Pe ae rae ee Sted dcr ee ans, Se ee 1,488 
Blood counts: 
VES GRE) Uae COUINGS Meee ae eee eee SO ee ee ot Ae, DVL ee Os ee 40° 
Wen Vbs X Gis COLTER ae BE VS Tie Se a es ee ee Aree, a er Ae ey ae 30 
ee a CAC OU LS ae ae ene oa eNO sits eee tema AEC ae Ana Ne 0 oN aioe gee 2 30 
TS NTO 1G Tie ee eee EN Me CEI 2 hey eS ee ee ee ee eee ae 30 
ear LL 1 ee ee soy ey ete ey ys eS ae SE a ee Soe ee 6 
HCCC G emer ee ere IR LON ara ey ee eS, en ON ee I Re A RS ee ee eee oe 19 
(GRC, 5 i oe ccna Se UE ea eal eee Ne Ea olen Se Reels 1 


21 


22 


ANNUAL Report, 1919 


PRESENT CONDITION OF ALL INCIPIENT PATIENTS DISCHARGED FROM 


Condition on 


Discharge 


Arrested 
34 < 


Apparently 
Arrested 
122 


Quiescent 
65 


Improved 
58 


Unimproved 
4 


Total 


THE SANATORIUM PREVIOUS TO JUNE 30, 1919 


Years Discharged 
Condition June 30, 1919 


1914 | 1915 | 1916 | 1917 | 1918 | 1919 | Total 











livine and working sses 4. see Ba 0 5 6 13 3 1 28 
Living and not working____-_-_- 0 0 i 2 0 1 4 
Déad 2 s- sna eae ae ee 0 0 0 0 0 0 0 
Ostet SS Sar shee Sie eee 0 0 1 0 1 0 2 
ivinerand: workin ges aes 1 7 Dit 32 24 7 98 
Living and not working--_-_-__--- if 1 1 7 6 5 21 
ead 2s tees Se ee eee 0 1 0 0 0 0 1 
HOST EARS S23 54 PS Rone Ieee 0 1 0 0 1 0 2 
Living and working __---------- 5 2 12 9 12 ‘5 46 
Living and not working_--__----_- 0 if 0 2 3 5 ice 
Dead $25.5 eae eee st eee 0 6 0 0 0 0 6 
Wosti Se ae ee oe ee ee 0 1 0 1 0 0 2 
Living and working-_-_-___-____- 0 4 11 13 8 5 41 
Living and not working------__- 1 0 2 2 2 3 10 
Desde ee eee 0 1 0 1 2 0 4 
TF OS bes erie Re act ES gs eee 0 0 2 1 0 0 3 
avane an daw Or kin) see 0 0 1 1 0 i! 3 
Living ahd not working_-_-_--___- 0 0 0 0 0 0 0 
Dead =e rn Sa ene eae 0 0 0 1 0 0 1 
JO Ste 2 ee a See eee ee eee 0 0 0 0 0 0 0 
living and workin y= sssesseese 6 19 57 68 47 19 216 
Living and not working_-__---—- 2 2 4 13 it 14 46 
Dead Assezeu case esses cesses s se 0 8 0 2 2 0 12 


283 





Tue Nortu Carotina SANATORIUM 93 


PRESENT CONDITION OF ALL MODERATELY ADVANCED PATIENTS 
DISCHARGED FROM THE SANATORIUM PREVIOUS TO JUNE 30, 1919 


Years Discharged 








Condition on ‘ Condition June 30, 1919 

Discharge 
1914 | 1915 | 1916 | 1917 | 1918 | 1919 | Total 
Living and working_-__-------_- 0 4 5 1 1 0 11 
Arrested Living and not working-_-_-_-__-_- 0 0 2 0 0 0 2 
13 (Dien Kol Mp ee ok Be) 32 ee 0 0 0 0 0 0 0 
IUCR een Ba Ee Se ee ee 0 0 0 0 0 0 0 
~ Apparently Rivine andaworlkings).. 2-5 2-2 2 1 6 4 10 3 26 
Arrested Living and not working_--_-___-_- 1 1 3 3 5 2 15 
42 Meee |b ce, eh 2 Seg Sas a Se er 0 1 0 0 0 0 1 
Teese Se Ces Seca Sieg <a a ee 0 0 0 0 0 0 0 
Living and working_-_..-._-____- -6 16 28 38 27 18 133 
Quiescent Living and not working_-_-__-_-_- 1 2 7 13 13 21 57 
Toga iDaiaye | Sk eae eee ee ee Ree ie ene 11 15 30 13 6 0 75 
ROS Um eee eee ee 2 0 1 0 2 6 
ivinoandi working 2-25... 50-55 6 6 ll 16 12 3 54 
Improved Living and not working_-__-_-_- 1 yam ee Lil 10 10 39 
175 yey Clem Ane ot Seem ke ee 19 16 16 17 11 0 79 
NWOStE st tae hee es ee ee eee kas 0 1 0 1 0 1 3 
Living and working___-...-_--_- 0 0 2 1 0 0 3 
Unimproved Living and not working______-_- 0 0 0 0 4 5 9 
36 Meadtests .ee eee 45a kt 2 5 5 4 6 es 12 24 
TOS Ui SEO oe ea aes oe 0 0 0 0 0 0 0 
Minivanivoean cisw.Or kalo ee eee 14 Di 52 60 50 24 227 
Total Living and not working--------- 3 5 17 27 32 38 122 
ee ny cys ad Ae is koe eee ered epee pam ef feta By iY iy ates 2 179 





24. ANNUAL Report, 1919 


PRESENT CONDITION OF ALL FAR ADVANCED PATIENTS DISCHARGED 
FROM THE SANATORIUM PREVIOUS TO JUNE 30, 1919 


Years Discharged 





Condition on Condition June 30, 1919 

Discharge 
1914 | 1915 | 1916 | 1917 | 1918 | 1919 | Total 
Living and working. _____._2--_- 0 0 0 0 0 0 0 
Arrested Living and not working_--_-_--- 0 0 0 0 0 0 0: 
0 Deadt=s= 4225 SEOs. vibe Lee 0 0 0 0 0 0 0: 
Lost) 2. eeee See os ee 0 0 0 0 0 0 0: 
Apparently living and working _>--22222222 0 0 0 0 0 1 1 
Arrested Living and not working__-_-____- 0 0 0 0 0 0 0 
1 Dead:2. aa sa. i ee ee 0 0 0 0 0 0 0 
lidste.. bo Se 2 eee 0 0 0 0 0 0 0: 
ivinc-andlworking 2) esse eese u 4 4 12 6 3 30: 
Quiescent Living and not working_-_-_------ 0 3 0 2 9 5 19: 
79 Dea ca sew ete se ee ae ae 2 9 9 0 3 0 23 
40st Rese rae ok SES Et Tae ele eee 0 0 0 6 1 0 7 
hivanioka nd awiorkin os sees nese 0 2 4 5 a 1 19 
Improved Living and not working__-_-_-__- aa il 3 1 9 14 29: 
143 Dead! Ss. 228 ee oe ad, Vee ee 20 22 16 28 6 2 94 
iOS GLEE Beet ie il Sead eee 0 0 0 0 0 1 il 
Jbrivabates Ghavol \condraumyee 0 2 0 0 0 2 
Unimproved Living and not working.--__----- 0 1 1 1 4 4 ali 
114 Dead. pee ei, hoe eee 19 11 14 16 27 14 101 
ost 2 oe Aa ee a eee 0 0 0 0 0 0 0 
ivan nd sworn p= sae see 1 6 10 17 13 5 52 
Total Living and not working___--_--- 1 5 4 4 22 23 59: 
337 — Leases ee ee Ae, eA he pea 41 42 39 44 36 16 218. 





FINANCIAL STATEMENT 


TRIAL BALANCE NORTH CAROLINA SANATORIUM, DECEMBER 1, 1919 


SEP e oo he a A acid Ee es CN Er Se ne, 
Bee EG CMU MOCLOTAT ans nec 2g ey sailed alee s Olas ein waa wes 
Pee eC VCTUTS Gr yok 6 eh $0 ah hada ds bad. Melee o ded ce Mes 
ee ORO OC INGION een pAb. cits sed tie Wiel aviary ale obs eed ee Sul dees 
Reabestate and hospital grounds. ...... 0... 0.66. 00.0 0 $ 20,000.00 
Pemmeverravion building uysrs iris ui eed. Seeee cel. 6,100.00 
[SREP Seg | AISTTRYE) hg Ae pk eat an 10,200.00 
Brame! Mreneemt 6 TOSIGENCE. 2. ck. ce ee ce ee ee ee 7,150.00 
PeAssembly hall, dining hall and kitchen................. 8,500.00 
LEUNG, Le 5 SRR IS a a 62,768.68 
eg RR OR Se ae kw ae ne cng a, , 3,500.00 
Wee Om OGCMONE COLLAR Ge ca aches esate dae ielees 6,500.00 
prenoerapner home). ....., 02.6654: Pere Mt oy A dees 1,750.00 
Re eT eIIEQCE oats sled hl he da ec ce ne ke 3,500.00 
PSS SOUPS BUINE Sr, 6 2a a a a 892.27 
Chere NG 2 2 a a 8,500.00 
Mermemmachinervwend tO0ls... 2.2... ee ee ce ee ee 2,051.78 
Re ONCLOC UUM ie. cls Se hee le ee heme vals 2,206.68 
BPN 1G CMI ey os yf os sy es acti eso sc sass veces h lanes eves et 3,005.64 
TOBE? ESS 5 os A ane 529.80 
Dairy barns, silos, and Papiine OLCR IN Weegee Re aOR te The: 23,517.19 
Dairy live Hele I Pa heey Se shin kk ha aa eee 11,250.86 
biwe a 3,291,382 
Pierce ancemxtures“(hospital)......0).....06s eee ese ss 6,554.87 
Furniture and fixtures (dining room and kitchen)........ 3,148.05 
Furniture and fixtures (superintendent’s residence)....... 1,535.74 
Purniture and fixtures (Nurses’:Home)..:<:....0-24¢5+: 1,500.00 
Hurniguceand txtures. (Cottages)... ho vhscduv cc fen ceeet. 369.65 
LL STON LT OAT i areas Naya: 0s War Seas te Gene ae SO eh ae ne OP 8,470.34 
rockemvenndscivelde: , 24203 02255 2255 baba ete daa bands Plb5.2 
rege nUsmMeci Clie) 8 sia Kish Pa AER To Peo hs eee 2s 375.90 
Hospital supplies and equipment................0..0.. 13,672.18 
ies PHCS yee oo ont eh Nie eee She se aes oa: 2,326.53 
COVSIOL Ce etek. HRS PAR RRA DD s isla eee be ye 3,824.93 
PMN Ose NOOMDOOKsi axa dad as se aL ENES at od aes ob 137.93 
Poywerchiont. plumbing, refrigeration: 9::s225:%: 44234223 51,070.47 
PeSeUMONe GVcteMi nes. .c28 pgs Shed Pend a ahetseods eke 2,525.53 
Pence COMMULIN mak 2. 0hRg S24 eee eked de the ee eae es 131.00 
EL ie vane ae w ee aL kat Leah ON? Ne oly Mh GR da 135.00 
PpUcmecs OliCersUIpplOsrgat so 2a. aA et Abba | ore ot Aas 225.15 
Business OMicecquipments #24. santos dee oumen das nthe 764.00 
eeLOmslOn OfICe SUDDHES.s sake to's) a odie lato wn oe oe ee 255.75 
extension Otice equipment 4 say sate aviek du de ole eels 3,465.09 
Laboratory and medical equipment.................04- 4,370.55 


Sewage system and disposal plant...................00. 11,178.39 


$283,314.90 


2,244.41 
20,175.64 
19,286.38 


26 Annuat Report, 1919 


Transportation and drayacese:.)ciee eck er e eeee $ 2,315.00 
Accounts receivable. lecnwo.  hcide os ete ee ae eens et eee 329.44 
State appropriation not deposited 2), ..,.<..k ine ee ee 16,604.01 
Gash osseous Sey OEM Gates at Shae le i ee en ne 2,866.40 


$325,021.33 $325,021.33 


EXPENDITURES NORTH CAROLINA SANATORIUM, YEAR. ENDING 
NOVEMBER 30, 1919 


PERMANENT IMPROVEMENT FUND 


Buildings:. (News. 6.0.2 ku Oy eee eee eee $ 31,617.10 

Improved so. oo ity Sk ae ee eee eee 1,203.93 
Hospital fixtures fo. hc ste labels lente elals tele 4.00 
‘Transportation ahd idra ys i../ 0 oe) tals ios nae 55.46 
Telephones....°: 3. SOOT. GAUSS Aah a 25.79 
POWED oi oso 50s sae. c Wiese s When ole Wale tems’ s Gt ale bebe a ae 18.58 
Water. and SC Wer 76 5.5 c.'s's'steiw nla lalete ahle aks yee nls are 12,100.97 
Laundry. een op oes oi vais ett tetetale a lye ae 1,006.75 
Dairy barn and silo: 5510), ee bei. anette en eee 12,071.43 


$ 60,104.01 


Executive: salaries 1220482 sis is store ine ae dee ren eee $. 8,377.17 
Traveling expenses) J4.ciiii Aa). Geese oe 1,811.38 

Office:. Furniture‘and fixtures is...n.2 2.0: eee eee 1,207.59 
Books*and Stationery 5. csi. lscsisss:che leet cco ode ee ee 1,357.56 
Stamps 0 See kia. cco seks ek itae Sih htc ese eee 1,246.30 

14,000.00 
MAINTENANCE APPROPRIATION 

Salaries!’ Medaicalisi4 i... sc ois boy, © 6 oa ee $ 4,165.76 
Executives aos) 0 ivcjecjlene o auele ace Muse opse, gic area 1,926.37 
Nurses and attendants :4:4-t:2s 2) sonss aoe) <csie eee ee 2,247.00 
Cooks and pervanits y. 0/5). 0.6 Gb spoke eh ee 6,076.68 
Audit Of D00Ks rence sir ee ae Toone a Fe 159.56 © 

Supplies: -Bedding-and linen; ;.) 0.40.0 eves eee 1,062.75 
Crockeryiand jsilveryio. ach sade tee ee 86.25 
Drugs ‘andimedicines 72). eros na) eee ee ot eee 155.385 
Hospital isis Peis Oita Bae ate ee 8,560.61 

Provisions:, Nleats wan. ce ioe die ee ae eine cee eee 5,102.49 
Birtbers sa ee Gar sie ato dee ee a ee 1,643.00 
Fig os Seay ecaaty Wek simian Bigks ats Sie. hake ae ae 351.84 
Vegetables‘and fruits. viv. an els oe ee 332.66 
Groceriess 21a, Ue hae ee Or ee ee 4,569.80 
Miscellaneous: jc... Jae pees as ee 21.56 

Equipment: Furniture and fixtures: wot .ue ee 1277s 
Instruments sey fies je sn st eeepc ae Nena 190.46 
OFF G6 i soa) papi i Pe ee ihc aay ae i 38.06 
Stationery and. books. nas alas Maes ene 73.86 


Tue Nortu Carotina SANATORIUM oe 


SHEONTC VRS bd oo Malecnce he Ae ad) Be eee De g 45.22 
Mee ULES Mer tees fie real ye is cists whan dco a ie costa esdicciave.e 18.13 
Power, light, water, refrigeration: Labor............... 2,851.95 
BSN mae er talea ga nit tayarsjeseds 2hssoiese soe Ri eie oe eae heiessieye ye 6,251.22 
MOG aN eat Cy ate cc yehe ,o:255ys.f8 (o\ealecehere cake selele anne 252 
MRR Leet ere EE TACLLD Ss are redeg eho = ys ak cy05ssh ar spe yucevs, tehenie Bless ripe diOk 
PVE MIDG UNS HEC TOOIS. irre, yeres4.% 1.4 lores e ese. nseseintvies be eet: 45.68 
Boe teem ONE I ZORS ey 6 .p20, 0s, 0y4)0, 6, olopayecejenertuer@ ose, hrejersiane 268.05 
UNOS SUs © gic yl) Ana ee ty seg an eR ne a ea 1,186.24 
Dey I Tes Le Tocc A o.h on sass ele ise dusuviesacojers acd atehcie RN's 3,543.47 
alee SS GOC se ihe ois) cs kash eneseinsele stele ese,0 cohen fahese ayes 3,557.58 
UME Tes Ny coe ra 10s w20i o, forge ite she hobs pocloaveeaesoueys aneee,* Poo 
SURI SEL, Le nae San ar ie a ae ae Ge 99.05 
eI ete Se ra oge ot ccradial's acs fe oi a(sliese:,ceateusceun 006.6 504.57 
ne I eres. e chalga fore iaceiania 4. d,0, dun bse, 8e 0,8 ebeen> 1 ya brass! 
MrmI aD HONE"ANC: TClEOT ADI cg. oe ins sb oi che sitenlee vine ene 166.82 
BR ea eis ck en's si oie po,» tes ate slate endian, > ees 694.56 


MSOF ATOM ANC CLAY pc. 0. jo.8 edie. s eve ces eae 2,728.68 
$ 60,020.00 


SMR EMN OU IGMU RAs eo. sa 2 sc y coves wh as ieleeldahareeie aac $ 325.00 
Bey CMe seis Sak a celbior ee wd Cools elds dw als, eid olere 798.35 
PWT Se] ANUPACVCOOANUG. ooo c kc piecte oe wee ew eles e's 13.54 
Beem SOLU AILUS © nc i6 o Suiric’ so oS ois « ohage v8 o.s esesseac’ es 333.66 

anes em edCiM OA LINC ce 5 suc kei sc eae ele ok ie ee 1,161.09 
WCPO OTA ENE 0) 2) nae a 597.96 
Pe ara LILOIICR, , 0 5 ties fa 6 cgers ous bus tan dis o Wee's 677.12 
US OTEN oo oc Je Oa 3,175.18 

anes. SUN G8\ ic 9 8 Se aS a 5,825.14 
A Ly aT 6s 53) 4255 aye 0)a, 5.01 20, hops, 2 Plate Ulewarerese 706.07 
BaD pi Be MT i. is 8.5) 0. ooayal si eeisqaie sls ent etece saydye vs 9,302.91 
Meee a eC IE UIGS. Fein Ure os sas tae eeiaie eed om hale Bp 1,944.89 
i i PR ee ers stl ata egal ee we. ele ae boece 4 8,534.06 
BCC ic CUS ee Couric eaves ci lan deus ecenceteng ey, at abace eae 101.76 

PUREE ee MEE UIT TIGL 4 sa, crete Vises, oe aysrste a’ akc vle.w dk weet oeel 256.35 
PPeUC INCH me SEN M Peres tyacarso hele onts putes aeayn(Y, cA ob oeels 9.50 
INGERCELIATIOOUS HONS & sin betters. -Cupstonciece cabs Per anh 2p ie, 91.95 

Mice MLL DIM eti ute. si see eee sk aldose onde eh ae 675.97 
ESOS ATi: SbAtLONGL ie. shite arate Wite Sole oP P AS REN oe ake 230.52 
SEATS Stee tite cA Ah ASI oe Vive aaiy ues ad 465.39 

Power, light, water, refrigeration: Labor............... 540.63 
STP OLEESSE Ss oe 2s Fo abe ee a A anh Re a A 5,182.44 

Te eT MCL ILVG, SUOCKRWME TL con orc ak Pt) 4 BAM un > “ewe tate ttt taa a ane 604.16 
PCD ai SeLOe lili Saas sishcs eye csc Meanie esabatactens ce ata 25.59 
INE ACIINETY INCE LOOMS «fis» 42 a.nd ted reteba Mhatevols le rabbity Sotemokate 319.35 
BrceUs ATIC LORUUNIZOLSs wats a sss, bx, sho lenereloiel afarviy%e Gretacs letghe ce 1,725.19 
CSET 0 Mah Lin ba gc, SL ARES 1 1,486.97 
TELO Lense ec Reena Mat betes, coe e-< RG ee cath eat 1,066.94 
MiiscellancOuUse.4 ts ete ce ee Se ae ener ante a ae 86.60 

BL DEYE Vises Lol VO BUCK re a et etree. on arches “acts a ole Maley to uoubina fo ibe fa 75.00 


AVBUTANCE; LIVEISLOCKie es ate eelcte ws “a 84 bs hice hn be 30.00 


28 ANNUAL Report, 1919 


Repairs to: buildmese site. veer pee eee ee eee ee $ 1.50 
Pixtires yo Oo eae OA OPER ECR Ch Oe ae te ane 48.79 
Feed: ca\nhins oes Ea eS Sie se 5,670.92 
Supplies ech Heh eeOeleh Sy wie hb poy 6 Pe eee een eee en 266.03 
Labor ss..N ric: bie ve One eke Bes ee eee ee 506.02 
Miscellaneous labor.:.c%..5 <i sis 06k eon ee en ee 141.10 
Telephone and telegraph +......\.. <5 2. Une eee ee ee 398.86 
Laundry pei sai! 6. Sok as 6 6 Sk we tale bolle ie et 2,947.99 
‘Transportation and: drays:< inks. see ee 1,681.70 
Refund board*and treatment: ...... 02. seen eee 3,863.17 
HOg8 i IE. NC EES % EO Ge ee eee 508.82 
Landscape.) dei6 0 cA k eS el 22.21 
Xray ecules . ees Soe Oe 519.47 
Freight: and ‘express: sci. 5 4 sis 4 sis ee 344.88 
Miscellaneous ..4...0.0% 05% ¢asi655 642 0 ee eee 10.00 

Total expenditures... “.. << \.% eee ene EASA MeN 


$ 63,348.97 


$197,472.98 





STATEMENT SHOWING DISPOSITION OF FUNDS 


Permanent Improvement Fund, authorized............. $ 60,104.01 
Expenditure, fiseal year 1919... 23.34.00 10 ee 
Extension Fund, appropriation ....2..4055 4 sneer 14,000.00 
Expenditure, fiscalvyear 10190. 4. oc... ces ee ee 
Maintenance appropriation, «... 414 0.045 sae eee 60,000.00 
1920 appropriation anticipated . iors. tin «eee eee 20.00 
Hixpenditure, fiscaltyear 1910... +5. \7< 4 os os ee 
$134,124.01 
Disbursements: Maintenance funds................... 60,020.00 
Patients’ tumdae!', Scn eu tosses ks ne See eee 63,348.97 
$123,368.97 
Less refunds, board and treatment,........sise.eeeeen ee 3,863.17 
Actual expenditure? o. ) cx ddan. oh Meee Oe Aer ee ee $119,505.80 
Hospital daiysp19i9 *. o-y wsl goes Lee ee ee ee 43,446 
Average cost per patient per day yy .s kh. eae ee eee ene 2.65 


$ 60,104.01 


14,000.00 


60,020.00 


$134,124.01 


CASH REPORT OF NORTH CAROLINA SANATORIUM FOR 


YEAR ENDING DECEMBER 1, 1919 


Permanent Improvement Fund.............. . $ 60,104.01 
Maintenance appropriation. ................ 60,020.00 
Extension Hing ap er a4 cy ek te) eee ee 14,000.00 
Hire. Conimissions (md sae ey ee 388.78 
Bequest from Hoyt estate......,....45...- » Lo eo0 
Patients’ Fund: 

Board andtireatments iayeeeaen ake $53,408.98 

PAULO 5 oR MERI oC ook Sadia ce ER rR A ae 8.10 


Tue Nortu Carotina SANATORIUM 29 


Oa LG SUD Pllc ar eset las Golese reste Sa sans $ 1,505.29 
melephone anditelegraph 60... ee. cule es 87.38 
HP OecEOIUCe TEN Untem aat ee. sce cles eas 90.00 
Pru CEG RMOLOVISIOUS emia irre. see sas oes et Loc) 
UD SHURA (275 bec Rte ay ee oa 210.30 
‘Sintra ap we nee IR eae ae 281.72 
DSO CE a, Se 250.07 
ee mI er aren PM kp yihee)bwa.d wale os 25.00 
MONAT cc a2 2k Pa eee 26.94 
Pees PEC Wen Ee Ae t 100.00 
ames AN CIMeCGICINGS. oac5 5. ele cee ees 18.10 
PMS ot We Rocko saith seh alls ante le 6 77.00 
$ 58,749.53 
fe ensonsnandnieecember 1. 1918)... .56....86. 0005. 1,082.12 
Overdraft, Page Trust Company, December 1, 1919.. 20,175.64 
Overdraft, Bank of Hoke, December 1, 1919........ 2,244.41 
Accounts receivable, December 1, 1919............. 1.40 
$216,963.39 
Less State appropriation, not deposited................. $ 16,624.01 
Jesaeesiron band, December 1, 1919. ..5..0..0.. 6800050 19,490.41 2,866.40 





Expenditures per disbursement sheet................05- $197,472.98 


30 ANNUAL Report, 1919 


NAME OF ORGANIZATIONS THAT HAVE SUPPORTED PATIENTS 
DURING THE YEAR, NUMBER OF PATIENTS SO SUPPORTED, 


AND AMOUNT PAID 


Number 

Patients 

Name of Club or Organization Supported 
Caswell: Training School..c0i.\ ia ak n-th oeee eee af 
Woman's Club; Henderson .-4\. 4. 4.4... 2 oe ee 1 
Baptist Philathea Class, Henderson. ...... 72a an eae eee i 
Board County Commissioners, Pasquotank................ 2 
Erwin’ Cotton Mills? Soh... ..0i3 litte o> sterol 1 
TOV Oe FeOrphanages 254505 5.) ae kt ee 1 
Clerk’ Superior'Court, Pasquotank: ), )....)..).)eeeee eee 1 
Oxford ‘Orphanage. ss. tiehgeace «cc's ule wis. sys ae 1 

Proximity Manufacturing Co... 2.24 04. cue 1 

Woman’s Club, Greensboro. 204s. 5.4 5/4 sls s/s a ee 2 
Board County Commissioners, Buncombe................. 1 
Revolution Cotton Milley. s. 3:0 ioe: . aia eee ik 
‘Thompson. Orpbanagey ii. 04 3°. esse. «eee 2 
Pythian Home. neu ) fe on G4, gee Re rk bs ee i 
Board County Commissioners, Henderson................. 1 
Tolar-Hart Mallee yo 32 ta a care etn res hohe 1 
Presbyterian.Church, 'Fayetteville?.. |...) nee Ih 
Charity Organization Society, Goldsboro.................. 1 
Red'Cross, Fayetteville yc. si. iatwe sce = ce en 1 
Red Cross; Gréensboro? eos. 50 3. ee ee ee ee 2 
Red Cross; Lenoir. 27025 oc Cas ay sees ee 1 
Totals ysis SG sete ese 4 eeniale eotcoe teed nee 25 


Amount 
Paid 
$ 185.00 
153.00 
45.00 
190.00 
140.00 
96.00 
95.00 
230.00 
255.00 
355.00 
241.00 
109.00 
275.00 
62.00 
229.00 
41.00 
41.00 
61.00 
68.00 
191.00 
50.00 


$3,112.00 








SEVENTH ANNUAL REPORT 


OF THE 


North Carolina Sanatorium for the 
Treatment of Tuberculosis 


UNDER CONTROL OF STATE BOARD OF HEALTH 


SANATORIUM, N.C. 


1920 





RALEIGH, N.C. 
EDWARDS & BROUGHTON PRINTING COMPANY 
STATE PRINTERS 
1923 


iimte f 


, aire 


a5 


# ‘ithe yt naa 
a 


(ei 
’ 
er 





TABLE OF CONTENTS 


Personnel: 
Pe eer Oe ALOR OATUrOLLLCALGINY. Wert oh us Sis dae cals ces sa cues aialece a wwlelelaros D 
ee cne OMe Ee) CU ULINCUUM Ee a tor, Moh Cif dais fei econ d leis «ofa aces dé eceiets 5 
Directors, North Carolina Tuberculosis Association................. 6 
RS AUTRES RCIUL, es tenn Gries pk ec, ae ee a ae a a a i! 
Peeomerietale—but the sum Still Shines). 3... ste. si. ec ek we hc ween eel oaks ) 
emmtetee MAE mM OATES UR VV OKC cic) foie acdc ais soa. s ee bie a sie wg ooo wo brake ate We eles 11 
Literature of emer es Ole UDOT CULOGES 3 /15.6 <)< vir ailnre ae ole w/e or ciarw evista wlalens 14 
anes EE) hee o eek ate chin wis, alessio G\sin) 6 4.0.4 eve od gievw ae! © os) ele emia a atobeatales 15 
Peed REEL Ite eget Ie hese al oa acho ahha soya sbycls acta Bioje #44 macg wba «loft 18 
Organizations Supporting Patientesat «Sanatorium: soos) oes ee 27 
ee met Tea Er OTTO TN UIE C92 (io e's. le gee ce 6 gs bieis este o ele-d seve oo oa bey, ale salina aie 28 
Annual Report of North Carolina Tuberculosis Association: 
| Officers PES OATOPOL A LITCCLOTS 6 60 os oats) « - tls wietd tails adele s sles alte oa’ eager 40 
LST OIONGE 4 oo ARG Tis Palin see Ce Ries a glk Mivabraraberal tad Mata a obted a 41 


aA Wn eaIMGULMMPONTA LEDS CMP RC Re aT Fae, 2 or gs fu, clneh oho aia Wiel ac'sy oles loileh & o. @ ane)idcevene he yieiia ees 53 


ry a , ice ia 


het 


gab 
cl 


ives a erence 
7 Wags 4 ety 





NORTH CAROLINA SANATORIUM 


FOR THE TREATMENT OF TUBERCULOSIS 


(Under the Control of the State Board of Health) 


PERSONNEL 
MEMBERS STATE BOARD OF HEALTH 
re WEI WAYS FTOSIOCONC: . cue. aa cic esata svesdssceslsedas Waynesville 
DE LICTLARD EEO TUMWIS sce. Ss. 8's a a ee Oe cal eS CMe Gores ick hes eka ache ee at Raleigh 
IE IMO IYER UT ie rar Sree aah oa Gade ele eMola ole lets ecb sew ws ao 0 Winston-Salem 
eR Ee MLO he, S85 os ee as ky oh olela Sle y SOs Gales #0 ek bee saa ee e's Charlotte 
Beet Nigh rete SADE GON Wile colic ie! «a ois Ais oe o.els clois-g ele s'e b oig eee eles ees Statesville 
Pe eRe ie IGADGHINGHOUSE. 2006.25 ca Pee cle ces bees scees we Greenville 
SUT IRE te FMRI O See Ue lc lk cide ssl vic o)e Kiace abs diel ears wine en a 9 el eo ocate Roxboro 
Se MLR ARET A QURIIOMT MIS Ie ee iy cbs cele a eke be slecciteese so eestece ces Henderson 
re ELON UN sec heats ass Wied gale edie, oleie haere Gisele bce's tenes 5 Jacksonville 


Dr. W. S. RANKIN, Secretary State Board of Health and State 
Health Officer, Raleigh, N. C. 


“greg # LER OUL CSL) ©. RE a a LABS MeCBERAYER, M. Dao heAL. CoP: 


PAC Ube OU DeMIMLONGCNC. . er... cok ses es wes ee e's Po BisMc@ain, Az BoM... D: 
Assistant Physician and Director of Laboratories...R. McBrayer, A.B., M.D. 
ana) VSLOUELIN ho ois, Sa ae OR OT eto ae Os ola d the ee wre J. L. SpruiLyt, M.D. 
Privearet SecretarvetoO. SUDETINCENCENES © oi dkctks on sedge vehi oh al. A. W. SNOW 
CA OENG TRENT Sa) Ais rt Re aia ma el ae ea Miss Mamie O’KELLY 
Peer NCD Ge SOLSLATT eres criss ies weleice tele Aika dw ie Solo. soe Giretbers a Miss E.. CONNOLLY 
NO LP renee echt create eh ON UR Gide me al tue Bid Reis kod use Jo Me Quark 


EXTENSION DEPARTMENT OF THE NORTH CAROLINA SANATORIUM 
FOR THE TREATMENT OF TUBERCULOSIS 


BUREAU OF TUBERCULOSIS, STATE BOARD OF HEALTH 


PREC COL. Matas t VAN tira srr ke itr rauus ipty a beetet see ok ea sw By McoBRAYER. Mv Diy RAs eae, 
Rape EIT CS FLT OCCUR oats ste e tere te fe uiee ah dle aut allekais’aa, she wlele P. P. McCain, A.B., M.D. 
CIC OE SS CCTCUAT Yate ccislos cee ais ls o hue Ph ote Ve, ce RR Ens Se gel ny Mead pone A, W. SNow 
RIE OS ELL) Ol pat erent cit om hel coun. cee Gta STR EORIG: Dos, Whaate OVO nde Or ae ah B) ecele, ¢ Miss L. BouLpDIN 
RE ETON CAD LO Teeter ett ete esa ata tect a 8s schol eiln Wieiaee ohwllehs, Ses oes Bia lerahictela's 88 Miss L. MAYHuUGH 
PLOTS LAL OL sewer me eaicl y Wiarals yo oo eee was. ss. 5 ete le we, & a bailens Miss §S. BrRaBBLeE 
Director Organization and Education Among the 

DOT OCS ie re Mercer ion ae aides oe whe ee a aiae Beye coil ST Sned ours Mrs. FLORENCE C. WILLIAMS 

[5] 


NORTH CAROLINA TUBERCULOSIS ASSOCIATION 


DIRECTORS 

Mrs. GORDON FINGER, Pres. Mrs. C. C. Hook, 
CHARLOTTE, N. C. CHARLOTTE, N. C. 

Mrs. CHAS. R. WHITAKER, Vice Pres. Dr. W. L. DUNN, 
HENDERSONVILLE, N. C. ASHEVILLE, N. C. 

Dr. L. B. McBrayer, Ea. Sec’y, CoL. J. L. LUDLow, ; 
SANATORIUM, N.C. WINSTON-SALEM, N. C. 

Dr. OTHO ROSs, Mrs. MARK QUINNERLY, 
CHARLOTTE, N. C. GREENVILLE, N. ©. 

Mrs. CUTHBERT MARTIN, Mrs. S. H. Brown, 
WILMINGTON, N. C. OXFORD, N. C. 

Mrs. W. N. Hott, Mrs. J. L. WETMORE, 
CANDOR, N. C. ARDEN, N. C. 

Mrs. T. D. JONES, Mr. HAMILTON C. JONES, 
DURHAM, N. C. CHARLOTTE, N. C. 

Dr. C. L. MINor, Mrs. R. C. WARREN, 
ASHEVILLE, N. C. | GASTONIA, N. C. 


A. W. Snow, Asst. Secretary 


Dr. EH. T. RANSOM, Moving Picture Exhibitor and Lecturer 


(6) 


LETTER OF TRANSMITTAL 


Dr. W. 8. Ranxin, Secretary, 
State Board of Health, 
Raleigh, N. C. 

My Dar Doctor :—I hereby transmit to you, and through you to 
the State Board of Health and the Governor and General Assembly, 
a report for the year 1920, being the seventh annual report of the 
North: Carolina Sanatorium for the Treatment of Tuberculosis. 

Very respectfully yours, 
L. B. McBrayer, 


Superintendent. 


(7! 





A DOLEFUL TALE—BUT THE SUN STILL SHINES 


This has been perhaps the most trying year in some respects the 
institution has had—the general unrest, the disinclination of most 
laboring people to work, has made it very difficult to secure sufficient 
employees to properly handle the place. As an example, it cost the 
Sanatorium $147.00 in traveling expenses, one month, to replace the 
turnover in help, and then the help was not sufficient in amount or 
satisfactory in service. 

The psychology of the after-the-war unrest affected the patients, 
too, to a small extent comparatively. We have been caring for an 
average of forty ex-service men since the beginning of the necessity 
for such treatment, and have had splendid results and little trouble 
until the last year. The men we are getting now do not seem to be 
interested in getting well of tuberculosis, the large amount of compen- 
sation they are receiving seeming to add to that attitude, and they 
are, without knowing it, interfering with the treatment of civilian 
patients. We feel that we have discharged our obligation to the tu- 
bereculous ex-service men and that the United States Government is 
now prepared to give them proper care, and with the approval of 
our Board we will in the very near future cease to admit ex-service 
men and will not renew our agreement with the United States Public 
Health Service. We have been glad to render them this service un- 
til such time as the United. States Government was prepared -to take 
care of them. 

Since we have been caring for the tuberculous ex-service men we 
have had two agencies that have been very helpful, (1) Occupational 
Therapy by the Federal Board for Vocational Education, and we were 
‘one of the first two institutions in the United States to put in this 
service, and (2) The Medical Social Service of the American Red 
Cross. Both of these will cease when we cease to admit ex-service men 
for the United States Public Health Service. 


Our religious services have continued about as usual. Sunday 
school every Sunday evening and mid-week prayer-meeting, con- 
ducted by the patients, with such help as they needed from the staff. 
We also have an occasional service by a minister, and we are espe- 
cially indebted to Rev. Mr. T. E. White of the Christian Church, 
Sanford, who has come once every month and spent the whole day, 
visiting with the patients confined to bed during the morning hours 
and holding service in the afternoon. Miss Grace MacKinnon, a 
trained nurse of Bennettsville, S. C., has been sending money to buy 


[9] 


10 ; ANNUAL Report, 1920 


literature for the Sunday school for several years. Entertainment 
has been usually sufficient. The Woman’s Club of Sanatorium has 
provided many pleasant evenings, the patients themselves usually 
forming the caste for the plays. Mrs. Leonard Tufts, of Pinehurst, 
brought over one afternoon each week during the winter some splendid 
entertainment; for example, Miss Annie Oakley gave an exhibition of 
her expert shooting; Mr. Edgar A. Guest recited some of his own pro- 
ductions, etc., ete. The ladies from Carthage have given a few de- 
lightful concerts. Many others have contributed to the pleasure and 
entertainment of the patients. 

Our building program has gone along, though very slowly; the un- 
rest and disinclination to work showing its effect markedly in this 
work. | 

We could not close without expressing appreciation for the loyalty 
and codperation of those employees who have stood by the institution 
and us through all the turmoil of war and its aftermath. From cooks, 
waiters and orderlies all the way up to the staff there have been some 
that were faithful and dependable always. 

On the whole our work has progressed along all lines. The results 
of our treatment have continued good, very good, and the influence 
of our work throughout the State is rapidly becoming deeper and 
wider and more far-reaching. The decrease in the actual number of 
deaths in the State by more than 30% in seven years is eloquent 
testimony. 

Respectfully submitted, 
L. B. McBrayer, 


Superintendent. 


SEVENTH ANNUAL REPORT 


OF 


THE NORTH CAROLINA SANATORIUM FOR THE 


TREATMENT OF TUBERCULOSIS 


UNDER CONTROL OF 


THE STATE BOARD OF HEALTH 
SANATORIUM, N. C. 


SUMMARY OF YEAR’S WORK 


OF THE NORTH CAROLINA SANATORIUM (INCLUDING THE 


EXTENSION DEPARTMENT, 1920 


Letters and postals received 85 ck PAE OES POE eet SP Crag ORR © Sue tf 
Letters written: | 
PRCT a CE AMR a cen ees SEs ees 4 op Seaceis lke esaie @L Be ale: € eee bo ove 14,269 
Multigraph oo cs 0 OES ag NREL AO SAR pa cao a a 61,416 
Der MIN PURO ETS Cl oe eek ee aie tia etna alas, ares a, «st RIG OR RS 
Articles written (approximate number words): 
Beery cle Cae Maret, each ag bos ialawerg & eiela ara e OAete wie oc a6 9,835 
rte Go al Mem Sacer ar a: <P g, Stee ga Taco a vlotas calle. sie) scce akcuailn abataia'e " 23,000 
MCT MMPDC TE DIL LOLS) cost ols scsi aioe a stelac aces chalet eenpnerhe anterera viayd's 20,950 
re SE DECAL OULS GO hart el crates a en ote ces «ose a es ao eke wiv ot 21,200 
Meee mC OM LOC Me aware, cepa tate Wis thers ever cs Asad ee ah oh 8 eS le ahs 280,082 
OL eee Te rene eS we wee hah gts aie bie nS ob ececerieee 
Forms and placards prepared....... EON a vat ea ached oe iadares 
Bora aiiniver COpies Om forms and Placards. o.c.06< 468 4.54055 6 «ene 
Blank cards mailed for reporting cases of tuberculosis............ 
Number cases reported: 
NVLLLLO Pemaee eon erent one wamem Meni ceptions kta Nie Aids tabbe tipo eld BANAT S 6 1,883 
BUA CK ern ics <. gebun is alt Nasmneeete wd « UNIS ech fare tee dae 1,412 
LOL L aca tated Cr aie eer Re Saeie ciel ok chico Set urea a tei deka ctu ailis) 48a ola eee 
Literature: 
PIGCesesOnta lO sPEDOLLeG  CASCS wets. occ ite 4 reves trolels oak atest ee 10,761 
OLN eTeliteTrature SCN. Olliwns eee hie hin nla Re Roney ee ae oe 72,153 
sample Crusade Literature Sent. ..0.6 55 dice en aa Vern ls. 11,050 
Crusade literature; sent. for Pupils... sc nck seen ves ss 21,283 
PROCS Lareces spas abete dence kc Sonate babs acditel skaaesetiabelcste1 Madsha Noh meh chee La om ee 


36,862 


75,685 


355,067 
190 


89,249 
4,067 


3,295 


115,247 
(11) 


12 ANNUAL Report, 1920 


SHUCUIM CUPS GIStVIDUTEC Ls. oer cicia el oe elles enna where) sheave ol acne ene Sears 
Tuberculin sent physicians for von Pirquet diagnostic test........ 
Blanks for reporting results of von Pirquet diagnostic test........ 
Patients’ histories written (312); approximate number words.... 
Hinvelopes . Addresseda wens so ii x ws ame he gatas oe cte, os aU eee ana ie es tore a 
Lantern and illustrated slide lectures loaned 7.7.2.0. 790.) oe eee 
Number :of .weeks. sin : US yi ok wks dete ps 0) Be rare giewennee le virak meena 
Total BUGIS COM WG are Brod we One, a oehesle ve flake 0 trate seen ed ats ane moa eee 
Films loaned (Chealthssubjects)i-aye0k to. tte hte ce eee ee ae ae 
Number ‘times: exhibited. Poe. 6%. cals see alee etn enas Ramen i mR enter 
Total: audience Wy .s Beak ws od. aie eh cs eeee Ace ra eta eee en ee 


Dr. L. B. McBrayer: 


Addresses ‘delivereden oy. cece ccs laic a0 wreheheigne ntetenene rene ne omen ee ete 
Total audienGess; vcs. has ke witht Han Inlay eee: Eee ewene enn eae 
Conferences with local authorities? 7: 3... cmc se teers 
Days outs OFVOMCE: . 0b ba haf elete 0 yb, ko eet ene eter ee 


DrvePurpeMeCain: 


Attended National Tuberculosis Association and the American 
Sanatorium Association at Saranac Lake, and spent 3 days 
investigating the Trudeau School of Tuberculosis and the 
Trudeau Laboratory and X-Ray Departments. 

Total number days out of office (including 6 days on vacation) 

Total: audiences: > ah5..0..55.5 28 er eee ee eee ae 

Conferences. Weld ve 2 wre Gee cie asthe satseseele ieealee te ie clare renee ee 

CHONSUILACLONG vo doi iciee < ca) so Caleta locke el ole, 00h, Ma Renn nn ane ee 

Clinies ‘ViSlbOd Wy. 55s oo eis la lee clare ull am whee ce ane ae een een enneneentaLCieS 

Sanatoria, WISILEA vs hicgeia wer s osse bie ete se ceeske eer geen eee green 


Dr. J. L. Spruill: 


County velinids held. 25 chic iV cate See aa ae Ae ae eee 
Patients ) OX AUTO ices clicks edsistatiehir as cba nalle "so? oech oMaN aR etek enone a EEE” ce 


CONTET ENCES) | ons ie ects Wid a dceie ieee awe wie ele @ tami a tal a gemma eee 


Number of outside: patients examined........ 2... ccc cw cece te eee 


SUMMARY OF WoRK AMONG THE NEGROES 


Lanterns and illustrated slide lectures loaned.................... 
Number of weeks loaned..........2.005%..25%. Ue ne Kage Pelee a ee 
TOGA AWA LOM COL occ acy eater sien sh at ot lotic al See eter ane te ee Ray coe er 
Modern. Health..Crusaders¢enrolled . <u )870. 3, Marae otis ce oe eee 
Number reached by Mrs. Williams and 45 colored.supervisors..... 
Number present at health moving picture entertainments during 


814 months, from March 15, 1920, to November 30, 1920...... ° 


Exhibits: 
Southern Conference on Tuberculosis, Jacksonville, Florida 
Sandhill fair. 
Number patients»December :1,, 1919 v4. 03.25. «5 + + a ale ernceieee eee ere 
Number patientssadmitted yy cic. shia s cc-ee> 5 ciel ee ee ee ee 
Number patrentsedischarged . sc wi. fos es ome itan Aes FOAL Ne Vee 
Number patients December 171920 099. 62). a oe cee ee cee nce ae 
IN DONG OOSDITARCU AVS fc ties niece ian eine 19 Ghana de Be ee RES MEE Oe Pe 
tate APProOpriation,- MAINTEN AN Ces cccctalsieie Melee eee eee 
Gosteper patient. per -Caysto State sx rercisis wie te ee eee tere eae ane 


168,906 
245 

245 
304,291 
80,781 
24 

59 
12,650 
6 

14 
1,700 


23 
3,025 
207 
75 


22 
400 
19 
24 


12 
1,014 


5,146 
13 


17 

58 
12.710 
12,000 
256,569 


46,815 


125 

296 
308 

113 
41,118 
$50,000 
$1.12 


Tuer Nortu Carortina SANATORIUM 13 


Appropriations, 1919: 





NECLINCCNIELILGO Berar a eve or tealSve ssh 9, Cee let oie tet by aye cles acavel a) balan deste tallaeaee $50,000.00 

18S WETTIG ONS An RAN eee co ERR ee. AR Pepe a Pa ee IN ACME RT 14,000.00 

BL COLES OER ee ee. a Mee Os Pe Bins She bo NR otece $64,000.00 
Appropriations, 1920: 

era VOL ILC me ees ee hs yeh nutes: ac haareeyc dn amano eta ta vaisg aa cote ea col cde wakes bist $50,000.00 

ramen eae) CI ye eter aye he etme, hn sar SNe er Mao iatg) gles k “griak a 's,'e ‘a? ala id salto Rlelee wes 15,000.90 

BAM COV CT AC CLICHE of sahidet ete Meera at Me Rede eA cl'e dw esi. 6's. eee Wl alebenels . 5,000.00 


SOU Lier ies SO ROBE: Ge GV, Val (Gio oty aM eiist'a tape, WS Py Wlargy a fete She veh iG, ALA PR $70,000.00 


LITERATURE OF THE BUREAU OF TUBERCULOSIS OF 
THE NORTH CAROLINA STATE BOARD OF HEALTH 





TITLE OF BULLETIN 


Bulletin No. 61—How to Care for a Tuberculosis Patient. 
Bulletin No. 70—TUBERCULOSIS: (A. M. A, Bulletin). 


Bulletin No. 92—An Act to Prevent the Convicts or Prisoners of North 
Carolina from Contracting Tuberculosis. 


Bulletin No. 117—Tuberculosis: Its Symptoms, Prevention and Cure. 
Bulletin No. 129—County Tuberculosis Problem. 
Bulletin No. 157—The Problem of the Returned Tuberculous Soldier. 


Bulletin No. 1000—If There Is To Be Democratic Equality of Opportunity 
There Must Be An Equal Opportunity for Health. 


Bulletin No. 1001—Murder! (Perfectly Legal.) 

Bulletin No. 1002—Carry On. 

Bulletin No. 1003—Fundamental Principles of Public Health Nursing. 
The Next to Go. 

The Story of Four Generations. 

Is Your Muffler Working or Your Cut-out Open? 

They are Dead. 

Camouflage. 

U-Boat. 

After the “Flu,” What?—‘‘Watch Your Step.’ 


The Incidence and the Importance of Pleurisy in Harly Tuberculosis, 
by Dr. P. P. McCain, Sanatorium, N. C. 


A Plea for An Harlier Diagnosis of Pulmonary Tuberculosis by the 
General Practitioner, by Dr. J. H. Way, Waynesville, N. C. 


The Diagnosis of Harly Pulmonary Tuberculosis for the General Prac- 
titioner, by Dr. S. EK. Thompson, Carlsbad, Texas. 


A Modern Prophecy, by Dr. Benj. K. Hays, Oxford, N. C. 
The Infectiousness of Tuberculosis, by Dr. T. D. Coleman, Augusta, Ga. 


Importance of the Whole-time Health Officer and the Whole-time Health 
Nurse in the Campaign Against Tuberculosis and All Preventable Diseases, 
by Dr. L. B. McBrayer, Sanatorium, N. C. 


Tuberculosis: A Lecture for Teachers. 
Tuberculosis Program for North Carolina. 
Moving Picture Service. 

Health Work Among the Negroes. 

Halt! You Are Under Arrest. 

The Slate of the General Assembly. 


MEDICAL REPORT 





DEFINITIONS OF TERMS EMPLOYED 
On ADMISSION 


These definitions indicate the furthest extent of disease and the greatest 
severity of symptoms that a patient can present and still belong to the stage 
defined. All patients beyond the incipient stage fall under the moderately 
advanced .stage, unless the physical signs and symptoms exceed those of the 
moderately advanced stage, when they should be classified as far advanced. 


Incipient. 

Slight or no constitutional symptoms (including, particularly, gas- 
tric or intestinal disturbance or rapid loss of weight). Slight or 
no elevation of temperature or acceleration of pulse at any time 
during the twenty-four hours. 

Expectoration usually small in amount or absent. Tubercle bacilli 
may be present or absent. 

Slight infiltration limited to the apex of one or both lungs or a 
small part of one lobe. 

No tuberculous complications. 


Moderately Advanced. 
No marked impairment of function, either local or constitutional. 
Localized consolidation moderate in extent with little or no evi- 
dence of cavity formation; or infiltration more extensive than under 
incipient. No serious complications. 


Far Advanced. 
Marked impairment of function, local and constitutional. 
Marked consolidation of entire lobe. 
Or disseminated areas of beginning cavity formation. 
Or serious complications. 


Miliary Tuberculosis. 


On DISCHARGE 
Arrested. 
All constitutional symptoms and expectoration with bacilli absent 


for a period of six months; the physical signs to be those of a healed 
lesion. 


Apparently Arrested. 
All constitutional symptoms and expectoration with bacilli absent 
for a period of three months; the physical signs to be those of a 
healed ‘lesion. 


Quiescent. 

Absence of all constitutional symptoms, expectoration and bacilli 
may or may not be present; physical signs stationary or retrogres- 
sive. The foregoing conditions to have existed for at least two 
months. 


[15] 


16 


ANNUAL Report, 1920 


Improved. 


Constitutional symptoms lessened or entirely absent; physical signs 
improved or unchanged; cough and expectoration with bacilli usually 
present. 


Unimproved. 


All essential symptoms and signs unabated or increased. 


TeRMS USED IN DEFINITION OF “INCIPIENT”’ 


1. Slight Constitutional Disturbance. 


Slight loss of appetite, of strength, of weight; lassitude; possibly 
slight acceleration of pulse or possibly slight elevation of temperature. 
The impairment of health may be so slight that the patient does not 
look or feel sick in the ordinary sense of the word. . 


2. Slight Hlevation of Temperature. 


Maximum temperature after rest for one hour, never goes 99.5 to 
100 degrees F. by mouth (or 100.5 per rectum). 


3. Slight Acceleration of Pulse. 


Maximum pulse rate not over 90 after rest for one hour, sitting or 
lying, except when due to causes other than tuberculosis. 


4. Absence of Tubercle Bacilli. 


Each monthly examination (if the sputum be negative) to consist 
of a careful microscopic examination, with a mechanical stage, of two 
smears, devoting at least three minutes to each smear, made from 
selected particles (at least six from different parts) of the sputum 
on each of three successive days. The morning sputum should always 
be obtained, or, better, the minute bits that some arrested patients 
raise at very infrequent intervals. It is not yet deemed wise to in- 
sist on digestion and centrifugalization, or inoculation of guinea 
pigs. 


3. Infiltration. 


Physical signs of slight prominence of the clavicle, lessened move- 
ment of chest, narrowing of apical resonance with lessened movement 
of base of lung, slight or no change in resonance, distant or loud and 
harsh breathing, with or without some change in the rhythm (i. e., 
prolonged expiration); vocal resonance possibly slightly increased; 
or fine or moderately coarse rales present or absent. If sputum con- 
tains tubercle bacilli, any one of these. 


6. Apex. 


That portion of the lung situated above the clavicle and the third 
vertebral spine. 


7. Small Part of One Lobe, 


An area of one or two intercostal spaces, or an area not exceeding 
60 to 80 sq. cm. in extent, according to the size of the patient. 


Tue Norru Carotina SANATORIUM iis 


TERMS USED IN DEFINITION OF “MODERATELY ADVANCED” 


8. Marked Impairment of Function, Hither Local or Constitutional. 


Local: Marked dyspnea on exertion, limiting seriously the pa- 
tient’s activity. 
Constitutional: Marked weakness, anorexia, tachycardia. 


9. Moderate Extent of Localized Consolidation. 

An area of one-half lobe or less, but may involve both apices; 
marked dullness, bronchial or decidedly broncho-vesicular breathing; 
markedly increased vocal resonance; rales usually present. These 
signs are to be sharply limited as to area instead of gradually shad- 
ing into normal physical signs. 


10. Evidences of Destruction of Tissue, 

Presence of tubercle bacilli or elastic fibers in the sputum or the 
presence of the physical signs of a cavity. There are no absolutely 
certain physical signs of cavity, but a combination of any four of 
the following signs is to be taken as indicative of a cavity: (1) 

- cracked-pot note; (2) amphoric breathing; (3) intense whispering 
pectoriloquy; (4) a veiled puff or post-tussive suction; (5) bubbling 
or resonant rales. ‘Physical signs of softening” do not admit of any 
definition apart from that of cavity formation, and the terms should 
not be used. 


11. Disseminated Fibroid Deposits. 

More or less localized areas of fibrous tissue, producing on physical 
.examination some change or dullness in the percussion note, more 
or less increase of vocal resonance, harsh, suppressed, or broncho- 
vesicular breathing, rales sibilant or sonorous usually, but at times 
fine and moderately coarse. ; 


12. Serious Complications. 

These should be limited to tuberculous complications, such as 
meningitis, pharyngitis, laryngitis (except slight thickening in the 
posterior interarytenoid space, and superficial ulceration of a vocal 
chord), enteritis, peritonitis, nephritis, cystitis, orchitis, adenitis 
(unless very slight), etc. 


MEDICAL REPORT 


STATISTICAL 1920 


Number: patients to be reported’ on...) 022.6. 008 eee eee Re rola 
Number patients, not tuberculous. 220, 10) ae pe DAE oy Se 18 
Number. patients not. classified... 2. .c «dono se sbene tee enter neme re ences 20 
Number patients in Sanatorium December dy 1920. ae es Pattee aes adele: 

Total ‘number jipatientsttreated duringsyeanesseen ne ee eee 462 


60 PATIENTS WHO STAYED LESS THAN 30 DAYS 


Condition on Discharge 


Condition on Admission 















































Arrested Deb h Quiescent | Improved ees Died 
Tncipiente ee. Pa 20 0 0 0 20 0 0 
Moderately advanced __20 0 0 0 17 3 0 
Far advanced ......_._...20 0 0 0 11 2 7 
Acute tuberculosis...__.. 0 0 0 0 0 0 0 
Totals... ...._.----60 0 0 0 48 5 bivy 
| — 
Average stay, 16.01 days. Longest stay, 29 days. Shortest stay, 2 days. 
Number Gained Weight, 35 s Number Lost Weight, 11 
AVera ge’ Pains Terres were ee eee BL O9 Daal CAVE LEO CxO eres ee ae 3.43 Lbs. 
Dargest «wii sure ee ee ree) ae 8:5 “Ebs?| “harvest cassiee sean = see ene Sums n 
Sinalleativain a. “eos ee erg ie ee 5S Tbs iSmallestaloge. = <2 eae eee Seen ee .75 Lb. 
Stationary 1 ef see Tare ey See Pye a Not? hweizhed | SRC beset te ieee 7 
56 PATIENTS WHO STAYED FROM 30 TO 89 DAYS 
Condition on Discharge 
Condition on Admission , 
Arrested apes Quiescent | Improved awe Died 
Incipient sso. =e eae 17 0 0 if 10 0 0 
Moderately advanced ___26 0 0 3 22 t 0 
Far advanced._.....5... 13 0 0 0 7 4 0 
Acute tuberculosis.._____ 0 0 0 0 0 0 2 
Totals view ae | anohs 6 0 Ong 10 39 5 2 
Average stay, 53.6 days. Longest stay, 88 days. Shortest stay, 30 days. 
Number Gained Weight, 46 Number Lost Weight, 8 
A-VETAGO’ Paine.) eee Se ee One 6.6bs) | Averace logsies een e eee ee eee 3.8 Lbs. 
Largest’ Pali. Jee aes ee met ee Be 21; dibs. | Largestslossus 22 se. Se ee ee 8. Lbs. 
Smallest BO Saws ee rhea ene See .5 Lb. Smallest losstt. 2: e=ee 0 ee ee Abe 
Stationaryeei ico. Gaal ge aeanel td bey) 1) | Not wéigheds) 20-2 NU 1 











[18] ’ 


Tue Nortru Carorina SANATORIUM 19 


195 PATIENTS WHO STAYED 90 DAYS OR MORE 


| 


Condition on Discharge 


Condition on Admission 























Arrested eppsrgntty Quiescent | Improved bc Died 
Tncinientesser see oon. c.. 63 We 25 19 0 0 
Moderately advanced_-__78 4 5 40 5 14 0 
Far advanced______-..-__- 54 0 0 10 6 19 9 
Acute tuberculosis......_ 0 0 0 0 0 0 
PRO urise et 2. 2105 21 30 69 33 38 9 
Average stay, 206 days. Longest stay, 475 days. Shortest stay, 90 days. 
Number Gained Weight, 156 Number Lost Weight, 30 . 
Re CPC AND Cee ei eee ecd enone LoeieL See AVer ae enlOssies stents ele ee eeemc rane yo 6.5 Lbs. 
MME PaROSC OM g, ob 6 toe et ou bens ne 61. Lbs. | Largest loss.__.-.------ Uses oe RBOE 22.5 Lbs. 
Copal 2S) Ree Ae Sa Toy jb Seales loss c coe se. So cl ae Liteyde be 
(oT) Qk OSES a te 9 Scie Notivelghetss a. ae meas Pl eee 1 
HISTORY OF HEMORRHAGE 
Negative ......-:._- J le pied ale, Ch teary Late ae aye neha RBs 29 2 187 
BrevaousiOMlys ta: eee ae eee vee re eke oe Lee So ee 104 
Positive < Previous and during residence_---_.._.----------+--:- 16 
IDWenNes SAC CCE KOM ARES 32 seas ae eee pa ae gee 4 
311 
RESULTS OF SPUTUM EXAMINATIONS 
Negative or no sputum_____._____- ph Se aL pete ies Mane LE phe ass eat Me 154 
Oa GMSSlOne seen, ee oe ein Le ee 145 
Positive < During residence...._--.+--.-------- RD Pe, DEES ated 135 
Onudischarcese ate steel.) 2 kee see ee eee ee 117 
551 








22 PATIENTS WHO TOOK THE TUBERCULIN TEST 














POSIT LV.Cee eee Deeeee eea e  e  e  e ee 8 
INGgatives tee nee eee ee eran eg tek She eee med aire hes Ca at oe 14 
22 
Age Civil Condition 
Sex 








-19 | 20-29 | 30-39 | 40-49 | 50-59 | 60-- | Single | Married | Widowed 








Malowe ssa eee 172 8 97 53 11 1 2 rae; 54 6 





“IVES TOE Forays Ble pes Se eB 139 | 17 69 38 11 2 2 56 75 8 
ii Moy A WEE Mee sige Li atl ch 311 | 25 | 166 91 22 3 4 168 129 14 


20 ANNUAL Report, 1920 


COMPLICATIONS 
Anal «fistula 2... 3% catedbataeraeen 4) Hy perth yrodisinsiee sec. ares a 6 
Arterial hypertension .......... 1 baryngitis + eer eas ee eee aa 24 
Arthritis, (eee ct byaviee aves sacks iene 2 OM Clan COA maha ue eons ae an tanstia ois 2 
VA STII Ahi eectehk, oe Gib nen tre aencee 2 nage Le. UMitralvresureitaliOiie ee. eee 1 
Bronchiectasis 24: eee ea eee Li VNe ph titisneen eer ee ee eon 3 
Bronenitis 2s Bi tenis eka a ene 13:5 \Orchitis pee Sie ae cera ee ee v4 
Broncho-pnetmoniag, Accs cdeuvee fe 7. Otitismmediaw os Sires wee eb 4 
Cervical fadenitiscmerr ss Ves cee 1 Pelvic peritonitis ...-< +. tee oe 1 
Cystitis: Fy .'s-atie oltiey wcities © ee are ee 1 ~ Reritoni tise re. piheiac.cse- etl .cs ree emer 2 
PenentiawPracce x cmsccs nwcsiales tee 1 PIGUBIS va Witl seis Ole. sien 4 
Wmphysema sel. IPs sees etal. | POUR em SOA Ser mreneennt tate eters 1 
inter itis lec xhsine ease aaah 10} -Pragiencyegeer ac ek eee 3 
GAaStroplosinvcg.. tus teed 1 bs Py¥OpReNMOLDONG x fy te eee 1 
GlOSSitianr ices hetiet tas ae pte saat eee 1 Salpingitigwia totes eee 1 
GONGIN OCA St ea i ee eee 2.) «SY DYELIS Fo rae aise ecaeccce. tts onel teee au 4 
FIOOKWOTrM, #9. ocenrs Sigurt aanete eae 16 
OCCUPATIONS 

BookK eepersanh, ek wie se ae tee ee 2). Machinistsunc.m sep ceee enters eer is 5 
Bricklayer 7. dec undies ste ee ee 1) Manarlachureraie ne sco eae ee 1 
CAT DENTCT Lens sitar ae oa cet, age mehe 1 +»Mattress: finishers t0 oe 1 
CAG AT INAKEr Perel sie pelican are Lo Merchants eee 2 
Citysmallecarrier 7 weene ences L oe. MALIN eR Seiten ste intel oe seep eran ere S 
Clerks dine Stores yes Maina oe ars 7.- Musie 2teacher*ecs wre neet cts eee I 
Community service director ..... 1 |. Officeaiclenks Aye giee wane ear o 
Cotton mill employees ............ 13 °“Peachrpacker aie ee ee ae cee ip 
HIGCUrICIAR seca tars ee anes 1° Printer sete es eee ee iT 
HATINOTS wil tata. techie rec uc ohoe we ee 15... (Pups nUeSes ie hee ere 2 
PUSIEr Tala m wisie ce ctee bate Lies oes arena da oe 1° Railroad engineer... a: eet 1 
Hlagman: soakienr arene, see etek ak oe 1° 2 Rural mail rearricray. ces ae aE 
Graduate @nursesiec ys canes eee 3. Silk milla operators + 46s acl i! 
Hosiery mill employee .......... 1: Soldiers “22h wae en eee 92 
Housekeépernteinncs. ono cree ipa ame 1 4 Stenographers a).a 2... ci. terete eee 4 
FLOUSCWIVES Me eiiines ve oa ee eee 78° Btudents i. 2. aiaucacsn eran veer eet 20 
House WOLK ale HOMGr eo wade a 25 PUP STOR sea stake ack herent eee ei Geechee eh 
INSUTAN CO wee. dess eee eon us aie he che hats lL. Teachers” i. ai ac tei os crepe teas 3 
INSUTAN CEs; Agent naw een yeas 1» Traveling salesman. yeenerss <3 2 
TA DOLOL Ce tiare ts set ees ae be lSlacetal ten ee 2 United States Navy sailors ...... ¢ 


United States Navy sailors 


Tue Nortru CaroLtina SANATORIUM 


TOWNS FROM WHICH PATIENTS CAME 


TRIS COLUM oleic tas’ thal che's 1 
BAVEL Wel TUCO it ote slidis: xisra eo 2 
PATTOS Kime er eas nf 
PAMICe Tai as, des hee AI 1 
BATION Pera el chase e/ Sale She 2 
TAS aN ope 9 OY SE aD kee ce ara a 2 
PSN DOL Oger ote sae os a 1 
POIVO WEL. thine ess. 0,» 3s 3 
PUIATNIUGE Sas. Soe SS 1 
Canen WE AS Ce eae 1 
PU elEQOLO wise ¢ «sis ace i 
POO LGT OMS feo o25) 6 ois 0 si 8 uh 
(hi 2 
MGlMONE hk. tae ee ee 1 
ESTED 5 6 he ha a Rae a 1 
Bessemer City ...... 2 
VE MIA Sag Baoan ee i 
MtenletUrel ve a ess 8 t 
BSOOMC Pre se 8 eh ise eos i 
“CSIC Phe a oa el 1 
ESTEE SCOT a oA tet g: vs eriscai's 2 
ME EE UIGS) © ais s kanes, ©, oe 1 
oem DOC. sl te ass ss 2 
RPO Ect Etre bs Lk 5a t's ih 
WeArOeCHAS 2.6... nt as 1 
APES O” aih4 were bb +: nf 
ae WU Ate i tonah eaten «ks it 
Poedarr Creek iin. ds... 2 
Medgar GTOVEs . tsa. > ss a 
MBLTATIOULES Sok wane Cece 6 9 
PRC eld erik es teed 1 
BE PATI CO Liss saint rere hears 2 
OE ESL “ite en ar ciertatctry. she. ® 1 
MP LOTeLAY hielo ule nx 3 
MO CSTA COL -ueseeeie aut <cshe! s: +s 5 
COE IN ig AB Nae 1 
METI OLE Re sagitaks ce0. se scae's 1 
TM DEPLANIGN 25 co sss 1 
AI Cie yeti tne. ote 1 
TOTS BIRY Sh igicteh one ae One egs ene i 
DUK GE We wccuk eee een 1 
CHG a8 a SA A er 1 
UTA TE hectare ote sie s .14 
MOvsorcvillests...<:... ett | 
HaclesSprinegs.% Sines 1 
MPAStE EON thence sss 5 1 
VALENS} 9) BD Se ae cP a 1 
By ZA DOC CALY® iow: irelens 6 
Elizabethtown ...... 2 
JOLLET ARN. ae ane eas 3 
MOUTOLDGS wees cig alete Wars ai 
PEA TITER LLY faterotars vices wo ce il 
Hion Colleges... 5. os el 
CEMA U6 ol A cp ae ae eg a 
FP AAT SCOTI Ss ci ccacstereaee ots uA 
PAPINVILLG Mater oe es 1 
Fayetteville ........ 2 
TLE Vee Re ees, \Aei tis hoe he u 
PHLOTERtaILY: vies ate’ as 1 


Four Oaks ... 
Franklinton . 
Garner nis Ae 
Crascolia: ws: ci 
Gibson) We ace 
Godwin ..... 
Goldsboro. ... 
Greensboro .. 
Greenville ... 
Henderson ... 
FALCK OL Nar aint 
iil Gin bo. ', 
HiTlisporos. ws 
Kannapolis .. 
Kerr Station . 
HSL SLOT ee are ct 
Laurinburg .. 
Lawndale ... 
Leaksville ... 
OnOL os ce 
IUCSTOLE. os aera 
Lexington ... 
Lilesville .... 
Lincolnton .. 
Linville wien Ye 
Dinwood ..... 
Louisburg ... 
Lumberton .. 


MeKenzie, Tenn... 7 1 


Macclesfield .. 
Mackeys 4.\.....:5 
DE ATISOT ec al 
DVLARAOTE waters) y oe 
NAT Sed eyo 
Matthews .... 
Maxton. 2s. 
Mayworth ... 
Merry Oaks .. 
Mocksville ... 
WEON OG) ire a an 
Mooresville .. 
Mount Airy .. 
Mount Gilead 

Mount Holly . 
Mount Ulla .. 
Murfreesboro 

Murphy. see. \ 
INWeUSe Oe ees 
New Bern ... 
Newport .... 
Newton Grove 
IN Ta Bae costes 
Pendleton ... 











eoeceeesoe 


eoeeeev ee 


eee eevee 


eee eevee 


coe eee ee 


ee ee eee 


eorceeoe ee 


oe eee ee 


eo eee ee 


eee eee 


eee et eee 


oe ee we wo © 


cee ee ee 


oer eevee 


oe ee wo oO 


oe eet ewe 


oer oe ee 


eee ee ee 


eee ee ee 


eooceoeeee 


oer ee ee 


@ @) 6 (0) e) « is 


ore ee ee 


eee e eee 


oer ee ee 


ore oe ee 


9. 1¢ Tee @ 0 6 


eee ee oO @ 


oe eee ee 


oe ee ee @ 


Cian jar en ted 


Persimmon Creek ... 


Pinehurst... 
Rinetowne.. 4: 
Plymouth ss: 
Polloksville . 
Poplar Branch 


eeoeoe ev ee 


21 
POULCEAS Ti tis my is Rees 
PTOGLOL pasrig tered rhe a 1 
ProspectyvHiliw. oe i) 
Raleigh iain mae 8 
Randleman, (tena 1 
Rede Springs ise are 2 
EGids villain Ny 
REV ETE) a tp ite eee - 
Rich- Square sys eeer, i 
Roberdel ya eaeen 1 
Hobersonyvilles) wae 7 
FLOCK LOTO unis ean 2 
Rockinghainiy.s on ve 5 
Rocky Mount’ eo 5 
FROM Aine cvcs ns ae ees 1 
HOseh il cy.) haan 1 
FLOSS AT Yi tns i, cn ue ay 
ALIS DUE Yaw ci: jon mes ume 
Saniond Vaa8.) ¢ eee 3 
Scotland Neck ...... i 
PeaDOaTd. & Fenian if 
SeAETOVO. ©. ee eee 1 
SSELLITChe Ceiey cee name age i | 
SHAN OLTG cen tee. ee ome 3 
DHaArOn; Lennien sone 1 
Siler City: .< Seek eee 1 
pimith field’. sae. eee A 
SRiOWs Hille, sea ee rs 
BOD Lage. te er eerin. a 
PS DVAV tre st dhk le eee Cm 1 
opring Creek’... .27 ke 1 
SULINgCaleraes verte il 
SOLINe Hopew.n sone 4 
OLA OVE II tn ety cot entea ie 1 
PLO LeVian ata cee ne, 1 
eGR OWT a iy Bueno, Fal Wie a 1 
Statesville) cyan ae 1 
Summerfield ........ a 
Swepsonville ....... di 
Lea DOR Ee tee Heal ee rok iL 
PAL DOTO We rucsse pomeeecs 2 
Thomasville. % oar. cae ib 
MPobaccOville: .. okie ae. 1 
‘Prenton. eee 1 
Vanceborotern: acon. AL 
Vandemereir ax ies 1 
Wadesboro vias 1 
Wake Forest ........ 1 
Walnut Covevia ce 2 
Washinetonives «meee 2 
Waynesvillesi. sea nh 
West Durham ...... i 
Westfield £24 tus sees 1 
Wilminetone. wee 6 
WILSON SY Bowens otabioces 2 
WHindSOns ce. tanita: 1 
Winston-Salem ..... 4 
WeOOdlANC#, itm. cee 1 
LY OUNSS Vill Gone. cr kee 2 


22 


ANNUAL Report, 1920 


LIST OF COUNTIES FROM WHICH PATIENTS CAME 


Alamance 
Anson ... 
PA VICE Vil cacy 
Beaufort 

Bertie ... 
Bladen .. 
Brunswick 
Buncombe 
Cabarrus 

Caldwell 

Camden . 
Carteret . 


Caswell ... 


Catawba . 
Chatham 
Cherokee 
Cleveland 
Columbus 
Craven .. 


eoececeer ee ees 


ececeeveeee ee 


osceceeeee ere 


eevee reeeee 


oeoeeceeve eve 


eoceceoeceeeese 


oeceeeeree eee 


eocereree eee ee 


eececeeeee eee 


eeceeoeerereveeve 


eeeeverees eee 


e016) 8, 6) 6) wile) @.is 


oeerereevreereee 


OCumberlandiat. sce 


Currituck 
Darewe% 


Davie. ac. 
Wupnlin -. + 


oeceeeeeeee 


core eowrew ee ee 


oseeeeeee eee 


oececeere eee ee 





Bdgecombe (smi 8 
Forsyth. |... '..400 ae 5 
Franklin ..2 <0 see 4 
Gaston: rif shs sce eee ti 
Greene tise ee a 
Guilford. s, = <tes villian capaci 16 
Halifax... 's. aie 5 
Harnett - sss eae 2 
Haywood? 243 4 
Hertiord 7... ssi 2 
Iredell 2. . a: sees 2 
JODDStON: & tata ke 4 
J ONES 64.254 Cee 2 
The | was oe oe 3 
Lineoln” 4 2..hee wey 
McDowell... sneer 2 
Madison... £2 cen. ase 7 
Martin’ (0) eee al 
Mecklenburg ....... #11 
Montgomery... gee 2 
MOOre ss aia5's ae eens 4 
IN AST” 5 0.cc00 since ote eee 5 
New Hanover ....... 6 
Northampton: sees 4 
Orange. ..0k «eRe 4 


Pamlico 


eoeeeree eo eee 


Pasquotank... santeen. 


Pender 
Pitt «<. 


cece eerer eee ee ee 


RANGOMDN. oceans 
Richmond, sac uae 


Robeson 


ROGRIDSGNAM iw cicnetae 


Rowan. 


Sampson 


- Scotland 
Stanly . 


ee 0 fe « © © evexa © 
eee ee eecee eos 
CC er | 
oS eue 1 Regence gees ame 
re er) 
ooo eee ee eene oe 
Ce ee  Y 
ey 
Ce 


Washington... Sahaes 
WVGLA TSA ua heen 


Wayne 
Wilkes 
Wilson 
Yadkin 


Tur Nortru Carotina SANATORIUM 23 


SUMMARY MEDICAL REPORT DECEMBER 1, 1919, to NOVEMBER 30, 1920 


Patients admitted: 


PORTER SHOR eh Ga Che IS AD A NOL 100 

eer AT CUVEE PLAT ATL CO CME T rics oa Cac Uaiene cin se ec Biel wlie''s. wise ih a ake le ah eteee Ew ceo tics 124 

HIMES SG RUSR OE By 2, cn Ape adn Aa Bia cs URN Uh a a rr A ee aL ge) 87 

INUER GUBSCIS We TERED Se os asuatting, lel ay MRED Ay CA te ce a ae ap RE 20 

SRC UOMRTCRT RO UCU UR Se ONT kot ne OLA BA Saks co PV NPR eto SLB ie cols ie ne; 6'v! dw 4 her ages "evds & Rae Riwnade thors eo 18 

GEENA ceils GSR As SAR RR iis wie rt yc led al a a ST Ee 349 
Patients discharged: 

ne | Mmm Pema StltS us esh, htc ak’ ew acd o ghe aua a) a," vlsie wale wletole eu reieelelecune 21 

Ne OrTURVEATreAle Cin ren ere tiem here tor Leiba giy eee eee etal ede ba untae art 30 

Dee bi tiae ete Cee 1 Jorma Bde Eat Analy S Sie Wlaie vac Bar's ave wea elle! 'e’ w eben dlarweg re) 

1 TSS siren Fon so Gitte BEADED 5 0 AEP ERS AD A 9, Ghee ee gE A A a OC 120 

SU aE TCM MT eee PERU EM e ke k og) ASS, ai-¥ 4s Yaad WEIS WN ee o a obo eye cba wkd shan Oe 43 

Seed ee eth ee, ee iat a Me ATEN TS CO ory cag\k bw cg iad shew phe tne 18 

Re UNL cree SE ren ts oD cB othe yy ARTE ah cas SB ros Wig ald clea sep aidedede 18 

a em TSE (1 APSE SEAL Dense fw, an ohn: ¢ Sod ei 8 SS we Vege Hlatade ene ve. 6 enalateie 20 

Total ee re RES are ME etre), Cnc cet alte eh ep en EMMA O Gg line Je ural SoG Ro, ois de. 00S ahs 349 

een PUM) ARCOMER EL MP LTy Speke Ag IIT aoe Mitac). ek cele octane Gide leietasin ee ap aturtelis o'ase 6,9) withtera 41,189 





PUN WE ee Ged e e by wseiceh cute cute irre valle acwielote leo 1a..86-0 se su widen» dye) Ripe ieee 1,632 
Cerin street Metre eth es ok el UGE og we Se ease pial « ey od Mea duecdlhce 54 

“Lhe aL) ES Na GER le cd 694 
Ma) eet R Cae Tl eae ae a Rts hoped Sana oS sha aieatn’s WRG Umtele ts 1,319 

ee CPEB TIC OL LLL OTUS tae isin iol MeO send eae pies akd-uet ababee rack Oo Mcaratals 53 


Blood counts: 


Sh ees CETTE LLTLUS b eitirevetecttiis cet Wate) «! a! leis ohaeel Giede Meeks es) ohare tales! o's FeAwungaoas 53 
DV eer PCOS. Pik als ste hoes; whoa 8 ea) ACR adel ERR SER ica: Et MI ERE St 150 
ee OC OLLREC Se Ce Pe oe eect clic (Nios 5) Locka ghia. Cor lewy ave Llbyere vo laa ade aon Sak bras, « 80 
VERE ORGS ae yueclene pprale a iy halal) g peep Be Oe tea ii oh IE PopPma arg ab ena deal Ree athe BOER ir 13 
DWOLOLMNIOEX tc eh tues es eee Cee eRe derecho save at heh cleke TEES a had 52 
PACE a CSUs eee or wes Pe ee ENTE Pera See dc, 5: GUT A CIEE ety db che Acca det sh AR eee 24 
GODOT Ome Os 1) lar tae ee Pale ad, ee aan a, Ge kone eral ace Ochre coe ee ahae deve Une ade bbe, Ore 32 
WNL ATUL ee PE rE MRM RTM nese ed PS GOR te: Pda kel AL eho Ue States we AKA ehe dae pene EE TE 9 
Sis SBS HS AA IW Ou ge Soa a Re dpa AE Ul ie ra bo a ON EW MN 76 
VCRWDE STW AGI sir de ONO Sec eae git * ie ire Ae, Oe GC ere APC Se anh Es MPR PR nce aD Oy Ar i 11 
VV CCL, Le tHe cen tes mre GE Tan aller rad site are tallds aa 'sl vier era relic emre au acct mat wae ment ERe 10 
SCAT MLOLMDLASTIOC 1 Liens. tatece tee ce otota ce es hei Ghar niavalon a ateletaatd obs cbiees mig reumoneen me € 
Fer Lame ULL CPN Sree cree eee Me ng ka aka seu at Silo apart etal ohne) ib ip. bin, Re BRU 17 
Eee Ten ci Law DLL eee teaers Mh tty sopaen ttle che ten als os le he, Gp bie. © tefl ey echisl ae Bw a eum Fue etaye ce afin vehancrane 3 
Stat ee MGS ACA Phas fret ein A ere as Ae, uh Se eGW ered cae geal lo ghee eee b wussie le a aue Sheen etokets 489 
COUR hee vo. Sys, Gog ee RUG ile NEM Ree An BA Aer cre SUR RES ame Oa Re Aa mn Sal 
RVeaert A TINO eras te ea EAT, oe sso %) tain chow ovenendt aay elm ovehapetay fee’ oe ebevec arteries ateenren 15 
Oe CLLOU GM VACCIILOS ireemere hs tieyato ae date cuales. 6 sla loqtvennte. 1's nlseelis state apeaurete Quareiy 1 
STL C10 ALO Caretta conn sitet tate. otalere INC aitelSaias e: otal caterer Sia ov skureletara ial son duatey ceaeae tone T 
HOME UCC Le CUTS Cet eet irs ce Peri e hare fictta skal om SA eam ameiny! ey ctie: Situeteahel ateraane eterens te 
TARE OUT Cit eee ete cere Soeee Tat Rent eed th ate ule: atctoie ena CaM “aig sales oh biate SMe re eee ke 1 


ANNUAL Report, 1920 


PRESENT CONDITION OF ALL INCIPIENT PATIENTS DISCHARGED FROM 
THE SANATORIUM PREVIOUS TO JUNE 30, 1920 


Condition on 
Discharge 


Arrested 
47 


Apparently 
Arrested 
157 


Quiescent 
80 


Improved 
67 


Unimproved 
4 


Total 
355 








Condition November 30, 1920 


Living and working. .._.___- 
Living and not working..._- 


Living and working... ...___. 


| Living and not working __-_- 


Living and working .._ ..._-_- 
Living and not working..._- 


Living and working... ..-_-__- 
Living and not working .._-- 


Living and working... .. _--- 
Living and not working.. _- 
Dead 


Living and working....-..-_- 


| Living and not working---- 


1914 











Years Discharged 


1915 | 1916 | 1917 | 1918 | 1919 | 1920 | Total 
4 5 12 5 5 10 42 
0 0 1 0 1 3 5 
0 0 0 0 0 0 0 
0 0 0 0 0 0 0 
5 30 33 30 28 11 138 
1 1 2 2 6 2 15 











4 10 11 13 13 6 62 
0 0 1 1 4 2 8 
5 2 0 0 0 0 7 
1 i! 0 1 0 3 
4 ii 13 9 9 3 50 
0 2 1 1 4 1 9 
1 0 1 2 0 0 4 
0 2 1 0 0 0 4 
0 1 1 0 1 0 3 
0 0 0 0 0 0 0 
0 0 1 0 0 0 1 
0 0 0 0 0 0 0 
17 57 70 57 56 30 | 295 
1 3 5 4 15 8 37 
1 3 2 2 1 0 15 
1 3 2 0 1 0 8 





Tue Nortu Carorina SANATORIUM 25 


PRESENT CONDITION OF ALL MODERATELY ADVANCED PATIENTS DISCHARGED 
FROM THE SANATORIUM PREVIOUS TO JUNE 30, 1920 





Years Discharged 
Condition on Condition November 30, 1920 : 























Discharge 
1914 | 1915 | 1916 | 1917 | 1918 | 1919 | 1920 | Total 

Living and working......__-- 0 4 7 1 1 1 1 15 
Arrested Living and not working ..__- 0 0 0 2 0 0 3 5 
20 UD yevaia tl CME SR de Ie eee 0 0 0 0 0 0 0 0 
NOS GSE eee SEs eae teie 2 ie aes 0 0 0 0 0 0 0 0 
Apparently Living’ and working ..-_-!| «38 1 9 5 11 4 7 40 
‘Arrested Living and not working ..___ 0 0 0 0 0 3 3 6 
50 Dead aeek aoe 2 eee Se 1 1 1 0 0 0 0 3 
IGOR TR Ae nes oye oS 2 Pe 0 0 0 0 1 0 0 1 
Living and working .______- 6 16 29 41 30 40 6 | 168 
Quiescent Living and not working..__- 0 1 4 9 ell Pes 8 53 
318 IDYehe ls oe Sy AE Se ae ee ee 11 19 31 16 11 4 0 92 
GOS teem em Li NEl sa ATT 0 0 2 1 1 0 5 
Pivine ance workings 28 2. 2 5 6 10 16 17 13 2 69 
Improved Living and not working...._| 2 2 1 7 5 6 9 32 
202 ID Gadiemets 2 cue et eS eK 18 19 22 19 4 0 99 
WOst ee eee to eee bess 0 0 0 1 0 0 1 2 
fe Living and working... ..-___- 0 0 2 0 0 0 0 2 
Unimproved Living and not working...__| 0 0 0 0 2 1 ii 10 
42 df (79 Mile 2 Ree A RRL a a 1 4 4 6 8 7 0 30 
hin G4 Pea! eae a ics AU Sai Ae 0 0 0 0 0 0 0 0 
Living and working......._..} 14 27 OM 63 59 58 16 | 294 
Total Living and not working...__| 2 3 is 18 ,J5 33 30 | 106 
632 ead Sere acter ee ee ee 30 42 55 44 38 15 O | 224 
Osteen eras ie OU 1 0 0 3 2 1 1 8 


SS SE aN 





26 ANNUAL Report, 1920 


PRESENT CONDITION OF ALL FAR ADVANCED PATIENTS DISCHARGED 
FROM THE SANATORIUM PREVIOUS TO JUNE 30, 1920 


Years Discharged 


Condition on a: 
Discharge Condition November 30, 1920 


1914 | 1915 | 1916 | 1917 | 1918 | 1919 | 1920 | Total 






































Lavan eeamncdw,.OT Un cael een) 0 0 0 0 0 0 0 

Arrested Living and not working..._- 0 0 0 0 0 0 0 0 

0 Dea dictentien 14 ee seems 0 0 0 0 0 0 0 0 

TAS Uk dsr Ne oe ee gee 0 i rs 0 0 0 0 0 

Apparently Living and working ._..____- 0 0 0 0 0 1 0 1 

Arrested Living and not working _-__- 0 0 0 0 0 0 0 0 

1 Dead S25 3 eke eee eee 0 0 0 0 0 0 0 0 

LOSt=o) eee ee eee aoe 0 0 0 0 Os 0 0 0 

Living and working. ._.__- 0 4 3 8 8 8 1 32 

Quiescent Living and not working...__| 1 2 0 3 5 3 2 16 

86 Dendy se. Sea eee 2 2 10 8 9 5 2 1 37 

NB a'* Boece aR ie OLS Rete 0 0 0 0 0 1 0 | 

_ | Living and working.._ ..._._- 0 a D 5 8 0 0 17 

Improved Living and not working ..___ 0 2 ve 0 5 10 7 26 

152 Deadats 2 eee. See ate k ee 19 21 16 30 11 10 0 | 107 

Uo) Oe ke OE ER Ue 0 0 1 0 0 1 0 2 

Living and working... ..-___- 0 0 0 1 1 0 0 2 

Unimproved Living and not working..___ 0 1 0 0 1 2 if 11 

133 Wead 38. 2. Awe ee eee See 19 13 13 17 29 25 3 tL 

bE SS RIES es RR ila Pe a 0 0 0 0 0 1 0 1 

Living and working .........| 0 6 SIAR Mile OG i ie Garren BT) 

Total Living and not working..__- 1 5 2 3 11 15 16 53 

372 WSU tects cee See eee 40 44 37 56 45 37 4 | 263 

Bess ee Irae bt ena 0 0 1 0 0 3 0 4 

OUTSIDE PATIENTS EXAMINED FOR DIAGNOSIS AND CONSULTATION 

Decémpbersrae tenes eaten A ATT Tae tee ete eee eal fee COT TANC UST ree Sem mere 75 
TAT UAT y peso ae ce ee SIS Mayenne se ri i len aie 93. | September uses user eeceacae 89 
Hebruairy jee cece eee ae ee eee 113 June eh eee eee 42: Octobersnvenmsess ee ae. ae eer 66 
Mareh 22) {222 = oe arene SOU] yee es ee |e ae alee nae §8:1 November eae ears eee 53 


ORGANIZATIONS SUPPORTING PATIENTS AT NORTH 
CAROLINA SANATORIUM, WITH NUMBER 
SO SUPPORTED 


eure mires te ross Gree#»ny tlle) Ne 'G.o 450k. seastars, xroe a: ierc, bod gtbiw vl ececw @ evbacd Wel Oe ic 
Peet ea etc CUMeT Oss... (ri Cel slOTr O, Ni oGsidisies Wesakawe 4 os ec ea cree ec. TEU ‘i 
Pee ere eee eC os LENO ersOly Nie Ors oak ceclsc sc cee ego se ce sae cus wees 1 
Peer oom Hele ross,  HAyVeltGville «Ne Gaunt tetiv pdeidels Gh daten saan Nateedts. BS 
Picea cane TOsce Haein (No Ore 2 etree ccc ee bee see 1 
American Red Cross, Lenoir, N. C.. ; Eo Far A Oe OE ET TC EEE ioe 1 
er mr rem OCMOO LS WINSTONS IN.) ic. ear cle whee cs so isis os bo ekb ee toeaele'g t 
Peroni ea Class, PHendersone Nu Ci cin oe sue cw b okee s cece bee Swern iT: 
boOardsor fount, Commissioners, Pasquotank County. ic... oe... caw ew wes 2 
Poatusome omy Commissioners, Surry ‘COUntY os k oo se wiebiele setale Bow cle e'e 1 
District Nurse and Relief Commission, Greensboro, N. C................-. 1 
roms me aren. Mlizaperh City, Ni Oss... cies been ces wee egeeee 1 
Sol ateNeenmeNit lis SCOUANG INGCK ON: -C..» 0:5 0.9 wereld LIOR s eas Speer eee ab 
ion poOnme piano ce. Gharlotre,tNeeO fo. ook. ts eee ta Pe Shea ealare Ses eee a 
CG ae) A med eee eS rele rm Oe yh ee adel utah: «6 sre bon aide gwiepo¥eheed wueede', orm myocar Bile, 6 af 
LosrosOr aC larityeand shelief.-Gharlotte, NMC, C0, PIAS Pea IGOR os 1 
Poo tumotlO atte vedndphelel  GOlUsDOr0,. Na Cre as wc cits spoke coc er sc eisltes muogs ele A, 
Pa peices badcea ee lnos. OXTOrs, No- Goi, o:. sgt Bardia 6 Ge Metin +i dciundlo: attyage ieee a 


FINANCIAL STATEMENT, 1920 


ASSETS AND LIABILITIES 


ASSETS 
fixed Properties: 

Real‘estate (Hospital grounds) 5; 2... eee eee $ 20,000.00 

Administration (building) 4.0. 0. eee 6,100.00 

Superintendent’s (residenc@..556; ia 0. <<a 5 woe 7,150.00 

Nurses” Home seais Pee aie. hee 2 eee 10,200.00 

Assembly hall, dining hall and kitchen........ tee 8,500.00 

Infirmary Gee eB Ee whe. Ce ee ee Pelallone ma 184,684.31 

One-story -shackis.%). s Sak alates the pee eee 3,700.00 

TT WoO-StOly Snacks eta. ussite ckeoe eee if tens tate 6,731.84 

Snow: Hill-cottaver . sic, osuhiss aac oes ee) oe 1,750.00 

Physician’s: residence a 7224. bf tsO e e eeeeeee 3,500.00 

Farm TeSIde@nCes (28 & ceteien aC avetiene 6h tee ee 3,705.64 

Real -estate.. (farm) cal aut A Sais os ee 34,750.00 

Dairy buildings-and equipment ..05... 1. = 2. eee 23,728.10 

Power, heat, water, lights, refrigeration, and 
DIUM DIN SIA a er Ses, ee seats ade ee Ge 51,070.47 

Telephone. systenis ewer iaee cannes Ae tk ee eh APA ekg 

Sewer system and disposal plants................ 11,178.39 

Inventories: 

Farm: SUDDIEGS Hak 5 oslo < ik ec ota ee ai eee ee 1,846.60 
Machmeryeandstoois: o: c-< + wc-c.s:e ce cree ee 2,810.90 
Liverstock, yeas (CRE Pk SOL ie nee eee, 1,875.00 

Dairy SUPDLICS sa Se chat cose efeusis oe. BE «eek ie i eee 2,647.40 
TSIVE"StOCR Ao ae so choo ote epee anie! sitio ee 18,490.00 

Ios Ray 4 CURA Reh PALS de ale ee RMN MERLE Ad oe tte sed Le So 2,575.00 

Murniture sand: a Axturess 4 e5.:.00 set wae eee 17,208.29 

Dinen and’ bedding wine. odes 6s oc see eee 6,441.40 

CTOCKerY7aNGusSlIVeL i. ae iets iecote con eee ire ee 542.40 

Drugs and imedicines.) 2622 SS) eileen! oe eee 1,750.00 

Hospital supplies and equipment .< 02570. .0.008 14,677.05 

PLOVISLODS * 20 oisic tardies, ate eh aadteeas Bienes eit ce he 7,145.45 

Trainings school "bo0oks ) siccses), oa.chle 9.0 se, eee 198.16 

Power, ‘heat; *water;-ete:,supplies#....4 eee 2,182.20 

Telephone system ‘(sapplies).. 2... ee. wien eee 150.00 

SCETEOPDULCON's OULLEE yiiete aisle Aiea ls Semi ote y coat tetie yee ‘131.00 

LADVATY | icec tie keane ois Rie oa ee ee ek 135.00 

Office: supplies (business) 240 sq sara eee ec ee 200.00 

Office equipment .CbusiIness,).' sen sci vets. Coenereiete 408.00 

Office supplies) Cextens10n) > teeter wise eee 1,057.00 

Office equipment..( extension )s psc 6 ss ae een ee 3,473.00 

Laboratory and medical office equipment......... 4,439.05 

Transportation and drayage equipment........... 3,650.00 

Gash iN GLa Wer’. ck kek die tct ie Boats ene Ane is ere eee 1,988.12 

Cash ins DANKS sere eve ers eels, ricer tes eke ae 44,172.26 

Balance permanent improvement fund........... 23.0 cane 


{28] 


$380,039.12 


94,032.90 


29,233.80 


$503,305.82 


Tur Nortru Carotina SANATORIUM 


LIABILITIES 
Meseny Cn lOTaAUCULOGIAULOMaig cs Soleo dalek cee be ce ca wele ae $ 19,286.38 
SVE A Lt OX COT OLOT AEE UIC ie oie bob aches eho polets www 197.50 
PalemCe,COULPACL Lhe we ELAN 166° CO oy. pecs cds winies soste vere ae 8,837.47 
Extra work, H. F. Hann & Co.: 
Labor ceiling attic left wing......... 3 Rt Re 420.58 
BSI UBO NSO IT VAAL IU 5 ciateie 50th os Kakb oele erodes * pia ele 73.20 
SMe OU I MOW=ELIILACOULALS . uciccce stuns iefss Stem wo 50.79 
Piaroemts Heo aldrop.6 CO, CONTIACL. .20.0% sec see eas: 3,108.34 
PatencerOis; Wievator COMPANy. <i. eden soa DEE RECIPE STG, 
Balance General Fire Extinguisher Company......... 3,568.40 
Brera rchitec. S:Cert, NO. 10: UNDAIG: wiiea ck ee ce esse 1,530.00 
BiAcemaArcnicect.s Cert. NO. 14° Uunpaid. .. 0... ke ees 1,530.00 
Peorerarenitecy Ss Cert, No. 1b unpaid. .... i. cscs eee. 1,402.50 
Beitoraecnitece s Cert. INO, 16. UNDA vs. cis cak oe hee se 1,096.00 
State Red Cross Seal Commission: 
Seren nal. AC VANCE 3. c's dbo 0s clo. ose) «, «sa0's 3,187.00 
’ H. F. Hann & Co., removing awnings.......... ‘ 17.60: 
Current accounts payable: ; 
Site Ce tes CLliINn es COMPA Vins «aisle ce 6.6.00 dus. ¢ o/hcadean a eaete. 314.93 
eI Oar C gor COT ETI V urate alercia sails «lars late Slaleariem ones 1,000.00 
eat eto Ommission . COMPANY... ¢..< ss ss sores 6s « 490.98 
Virginia Machinery and Well Company........... 771.09 
RN Se arcs) 8c. oh wns oy oe'in Vornn Bw dg. 9) 3 Slee ayers we oe 2.50) 
tL Ver Ue LONG AC OM DANY 6 sisiecs aitiseo 6.8 9 o'G ere) die) dye, shel 10.60 
-P,. P. McCain, expenses to American Sanatorial 
CPUC NVA ecg NR RAPA Dany Anca acai geag Sn © ee 91.35 
SE PDT coef ce share a's) oils 4) Go - G hen eile Seeds nies aya 3 5.00 
We cleINCSS (COMPANY sc cies tats epee esc e keds 8.58 
Cree OO Ort VCR OU. S18 a oo a rahe gies SOURS ora His Fueoige « 9.00 
Remineton, Lypewriter Company... .. 25's «2 tess 1.00 
Mrs. F. C. Williams, traveling expenses......... 139.88 
Pai Cm ComAR TAT Dall Vo cetec ia uri ate sod: o's: alk es sto 6 eiaietetaae eae ing 906.46 
BNA OUT MOCEee OLN DAILY cise she ciapapers) ies, oat (o eara- lel Utes 46 487.34 
GCOLE CMYLA LS ImCOMIDAI Yas tee coos sak is ass selene os 751.95: 
Sel Lem GOMOD LLY ALC. oa ees cies eee k eet ays 50.65 
MOK SLO LOCOT Ya COMPANY antec trareissis ole tre tase tans: 202.48 
POTN OAT AoE OLN DAL INVe trite a ereie shea) baked Ve lNewe.s ols 9 < Slane 100.65 
Kronenberg X-Ray and Supply Company......... 177.07 
ANNs) TOTTI S.O ITSO OTL DAD 4 aster eos: 3) sav'enal 4 agate 8 else bia, Bre 1,144.11 
Deere CO MLIRC LOL pareetetclscsiitcie ee 'v le a ear ose ttaris ere reuse acd 33.35 
ao) PAPEL UE] UD Varn cia cee ee Vem ctaie sd o.luuye cal aa Lae elec oles eusy sdirytas he 6.75 
Refund board and treatment: 
PNT DOCUME OL IO WLP ore re ste ta ities oulals A cule le tee nent 42.00 
CePA ILOLL eo OLIVA LY m teers ce tie Beate eherete «ie 0's, 9 sane 4 hls eters 504.07 
CITIZENS IMDS RRGOMDANY ccc loses © o cceps «% sperma ews @ 6 450.27 


Net worth—Assets in excess of liabilities...... Cecdelsl teeraterese 


29 


$ 54,732.84 


$448,572.98 


30 ANNUAL Report, 1920 


TRIAL BALANCE 
NoveMBER 30, 1920. 


Dr. Cr. 
DUTDIUS! reo OL eee eee Pare Wee are rr Uri ne | IRIE pe ee be Sy $477,661.56 
Realvestate, panatoriuni 2Srounuds... ica eee eee $ 20,000.00 
Administration building ce cen se eee ae 6,100.00 
Nurses’ sHOMEGl. 25. ad oomaae eee Shee eee eee ee ee 10,200.00 
Superintendent's residence... .s. ss She eee 7,150.00 
Assembly hall; dining halland kitchen. .*< 2.23. 8,500.00 
INP MAT A oi% ce cin snteeenten tne wie e eet ccle ls st clk aea nnn 184,684.31 
Open-air cottage NO. gen. «oc os egeetevanelce athe) tee 3,700.00 
Open-air: cotta 26 INO. 2 ee cena « sieo.& sunketere, See Pata de 6,731.84 
Pnow-Hill wcolta gan... loss foie wheel leo, ale Soe 1,750.00 
‘PHYSIGIQNS BTESIN GNC: Ww. ne eer eee ae eee phe Sud) Pe a 3,500.00 
Harm*supplies and GxpensSe@:Aic i; ess. «ie 2 sverate L 1,846.60 
Real estate tarnishes cannceh. s sete te ere tents ee 34,750.00 
Farm machinery and-equipment....:o... > «- see ee 2,810.90 
‘Warm: live Stock...) < os. ot ces besa ie soe te oe 1,875.00 
HAY TESTCCNCG 2s. outactcuone 66 le ota oe BU ioe ns eoteae ne ceoe ee 3,705.64 
Dairy supplies and expense... ca. sf. 6 se. sinless oe eee 2,647.40 
Barns, silos; botiline plant and equipment. ... ase 23,728.10 
Dairy Ve PStOGks See aie Oe eet eo ae Bee es be 18,490.00 
Oe ‘AaCcOUnt, con, 4 rkiee aie etaietele sie: aleiasa ts eae eee ee 2,575.00 
Furniture and fixtures: 
FROSpital | Fess cr, caters slamibel entered Oa) Ghale Wet ce teres 7,042.00 
Dining ‘hatlvand ‘kitchen. ashes cee eee 7,521.60 
Superintendent’s residence........ 0.0. eee 1,594.69 
INUPSES' NOMIC Rte «vie cis Ohta ee ane ark le 5 wieacier ayn eee 1,050.00 
AINEMIANO DEAUING se sacen oe ce teerels Ge Ac ae 6,441.40 
Crocker yiianG se Sliverseec elites oie aie wake ole eee 542.40 
DrugPSvand AMET 1EiN Ciscoe cocws oe. cj olae es akan oo ademepaene sie cee 1,750.00 
Hospital<supplies tand” CGuipment.... a «t+. asc rence ee 14,677.05 
PLOVISIONS: Tio hoe chine tee chee are Saad od CURES ant ate eea 7,145.45 
Training SchoolspOOKS...0.e:06 sao ene nt eres ee 198.16 
Power; heat, “water, allgnts 7. .e o.oo. ee 53,252.67 
"Telephone *sySvUemiin .teseur« «cies sets mie eoeuere miei na ooakere emer 3,440.37 
Stereopticon OuUiiter. sae exe ere te oe ee ee 131.00 
LGU DLA TY Celis oe ee aha eich clerk yt ae ne ee 135.00 
‘Office, supplies-—businesds sas Aa aN ee alee oe eee 200.00 
Omee equipment——-bDUusinesse. cs se. ene oe | tote ee nee 408.00 
Office. "Supplies-—ex tension... «ac: gece oo eee oe oeenene 1,057.00 
(OfMce -equipment—extenSions .. 1.2.54 4 ees wee eee 3,473.00 
Laboratory and medical office equipment............. 4,439.05 
Sewer system and disposals plan tc wed. 00 a. eens 11,178.39 
‘Transportation and drayage equipment....... mei 3,650.00 
Reserve. TOT ed GprecialLiOn: avec cco aie tee ee eee 19,286.38 
Permanent Improvement fund. cess. cs Fee eee . 23,073.42 
HOXTENSLON TUNG, atte eee eo Ue ee ee eee ane 197.50 





LOUEIS ivi nse Seatlnreere eden elect eeete SMe a enok to tattor eacets $497,145.44 $497,145.44 


Tuer Nortu Carorina SANATORIUM 31 

PERMANENT IMPROVEMENT FUND 
Mn propriation OL General  ASSEMDIY iLO TT ex ec ins coe se bie ee cee eee $150,000.00 
MmoprLontiablon ol.G@eneral Assembly. 19190. 00 6s) gy ewes et $100,000.00 
$250,000.00 








Disbursements 
1917— 
Pe utee Tee ITC W Mew att ars ccs hls cee see $ 51.36 
LEAGLO Ie TESS i Gy OL A ce Sie ee 2,986.74 
een ond KILCWON oc. ss ct; lees ee Dtios 
MMe NODESSVSLEIN fc cae cnc allows ss 77.08 
Pe TORT SAV UCT Mai ace ctece cree e be ice ee ak 92.82 
Peer Te DOLICE \ule ees scae «deci cule ieee woh 4,025.47 
ULAWEE UN ESS. ogi les apatite A a PRA 62.42 
RARE ORIG rere eee ae hia ei ckeseye sae eke eb 3 14,965.05 
ate RE lama an tora ce Geert. eis are Ga 8s Ti co 
EP CAIGERS TAG BYE?) so 2 RRS AIS a a ar 30.80 
SENT. TSR SI 29 0's dh Se Pe 4,903.88 
1918— 
PeAP ers ee COW cre fc ics al me Si arsusse, acne s $ 2,050.10 
Prec eTepairse css te eee o. eerie. 295.99 
Furniture and fixtures, Nurses’ home... 1,383.93 
WinCesCUMIIMICNL. . 2c 5 Gmder. «nite ates «Ase ss 5.25 
MPCTEDN OME MAW SUCTION ss. acs ccs sou cee se eee s 1,438.21 
ee EI ers sara g's wa e's ore 68 «oe o7e 21203 
BN CC OUNCE oe esc ee eka vile ee 1,318.64 
ECINOO) Os 34ers Saracen erry 50.00 
Dain ymGoariesand SilOS) < pecs. hs eee 7,291.59 
SERWEIE “oo o.0 = Ca aaa Oe 29.00 
1919— ° 
RUIN CREED OEE TVG Witenes) scl cool ashe. vis s.s,.0i6 8 6» © ool Oli kO 
JeSvEUKOG WAP, ai ret oye g hI AD ete ya ok irs a ee 1203.99 
POS DHA ERE ML ONer ashe tin cicino ee cae aee + 4.00 
Transportation and drayage........... 55.46 
MOO DIOMC RS Y SUC ber tetera et ene oir am ce. 48 20.19 
ee Wie) Le Dereranes wa keke te eit  sCtuies ve on aree« 18.58 
Sewers and disposal plant............. 12,100.97 
BcUET 1ACL 1s Vawenee  Riarae COTM ONC mo: UIA Sas: aie 1,006.75 
Adv SE ema Sl LOS talc acs sca se 86 12,071.43 
19 20-—— 
PSU LAS RIE Wir cen cea Ree cree coe re aha $ 119,755.63 
UVLO Os EO iis teu . See ers date watciee's 631.84 
Furniture and fixtures, hospital....... 2,548.78 
PRCIO PION Gas ys lLeUI tetra fee ells. cs otevereteiacels 914.84 
RGLEIT Sere TiO ae tse doe S cave le te iniele ooet ace isla 1,682.52 


$27,244.79 


14,408.74 


60,104.01 


125,533.61 
$227,291.06 


33 [aN COM UITIOX POC OCLs ws sae es cin iais wer Ao area caste nes © apts atahemone cael oe 


227,291.06 








$ 22,708.94 


32 AnnuaL Report, 1920 


Balance appropriation unexpended Noy. 30, 1920..... 
Refund from Tucker & Laxton acct. per. imp......... 


Contracts pending: 


eee eee eee 


Balance H> Fe Hann. & Company contracts... 8,837.49 
Balances... “Waldrop: contract... 2.10) eee 3,108.34 
Balance Otis Elevator Companyecontract: ae 2,120.00 
Balance General Fire Extinguisher Company..... 3,568.40 
State Architect’s Cert. No. 10 unpaid............. 1,530.00 
State Architect’s Cert: No. 14 unpaid............. 1,530.00 
state Architect’s Cert. No. 15 unpaid............. 1,402.50 
StatetArchitect’s Cert, No-«L6 unpaid. ....ee ee ee 1,096.00 
H.. F. Hann: & Co., coiling dett wine attics: oan 420.58 
Ho.F Hann é& Co wotk.on dairy* barn... eee 13.20 
H. F. Hann & Co., work on Snow Hill cottage..... 50.79 
Grinnell FCompany «. svicchne gee ks oe ee eee 504.07 
Citizens Lumber, Company 5). oe 450.27 
b. 1: Couch & Companys i... .hus «oa cee 1,000.00 
Deficits, oye. sic S Bee ater est Sho see ane 
MAINTENANCE FUND, 1920. 
Appropriations tetera. ceo cov cee creie Cet eee $ 50,000.00 
Additiong Malowance. ves .. 1 cece woes Oh ae ee 5,000.00 
Disbursements (see Disbursement Sheet)............cccccesece 
Maintenance—Patients’ Fund: 
Bank of Hoke, overdraft December 1, 1919....... $ 2,200.51 
Outstanding vouchers December 1, 1919.......... 13.90 
Vouchers drawn Dec. 1, 1919, to Nov. 30, 1920.. 93,216.39 
Deposited*checkspunpaid by bankas. <2. < eeereee 71.04 
Deposits: Deco1,-1919, to. Noy. ,30,7 1920 eee § 95,216:37 
Overdratt=November 30;,1920 2.024 eo. ce eee 285.47 
Extension Fund: 
ADDIFODTIAtion teks el ta ae cece es te ete cee eee $ 15,000.00 
Overdra tte errata (tan sea slate aie tele ne cto Pare 197.50 
Hxpenditures as per Disbursement Sheet..............ss+0. 


$ 22,708.84 
364.48. 


$ 23,073.43 


26,296.64 





$ 3,223.22 


$55,000.00 


55,000.00 


$95,501.84 


$15,197.50 


15,197.50 


Tuer Nortu Carorina SANATORIUM 33 


RECHIPTS AND DISBURSEMENTS 


Fiscal Year Ending November 30, 1920. 


RECEIPTS 


STATE APPROPRIATIONS 


State 

Fund 
Permanent improvement fund........... $130,000.00 
eer STOPLUNG. a. ate ln ee weed ate alee ees ww 15,000.00 
Mireevemretce PUN fi acs FOE CRO). IU ak 50,000.00 
Extra allowance to cover deficit.......... 5,000.00 


Ota ee PDLOULIALLOUSie.s . .urastoiy dew de spe es 


SANATORIUM EARNINGS 


Board and treatment of patients......... $ 84,351.41 
Pricey) OX aAIMINAtIONS. ..°.5. Soke ee ele 1,825.00 
Me RPI SNe ents cherie co tceced el edly «ey a ato 


INTERTRADING ACCOUNTS 


BrIOeOL AULOIIODLIC. c.f. ac. Ske ok te ede $ 600.00 
Ve SHO OE TES GE es eS i 1,502.79 
eS OS cic. ee sie e aise eo celeste ea 1,662.99 
Sten Ol MOR... . Ss ce aN i a a 130.00 
Telephone and telegraph messages....... 150.77 
COS UTE Se) en 67.50 
Heald GOWNS SG 8 rrr es Se 
yO eee ee eal ciclel sels Cala elsa'e 60.00 
Sale of provisions and supplies.......... 5,101.02 
NMG UCU EK AES BA eck WI pd ose <le-v- ph atetpciegor bh ok al ode #hei oe 129.00 


pra lstllLencnaUinenACCOUMUS, fea. ces le alee 


Totals Sanatorium reCOl DiS . o0 4 ois a caus eae 


REFUND 


Refund—Deposited in Page Trust Company......... 


PE OUCA Hel OCOLIVE Stic teun tia? dicta vans co Bwak eens Bootes mie uals ¥ 
DISBURSEMENTS 
PERMANENT IMPROVEMENTS 

PTOI SAO Was Mea eke hal ced Sake ea $119,755.63 
BU Oss) HN prOVeCMeNtsS... cess sett es 631.84 
Hospital furniture and fixtures.......... . 2,548.78 
LRALEDL ON GISY BUCH ime .ct 2) shade cintclehe 5 tuote se 914.84 
HOT SOTALION V hate oe bas. d a Oe as exes OEE 1,682.52 

TOUCH mete ce eae re cle Cita Scan he otetetane en “os 


Sanatorium Total 
Fund 


$200,000.00 


$ 86,176.41 
8,161.68 
Ble. aes Wile heats 94,338.09 
RV a 364.48 
PLO lian cab aie $294,702.57 


Peale taba et ete ances $125,533.61 


34 ANNUAL Report, 1920 


EXTENSION 
State Sanatorium Total 
Fund Fund 
Hxecutive salaries. 2d. UG eee ee se eres > 8,334.89 
Travelin? “expenses ss Caaae tie eistmiee eee 3,261.32 
Office: furniture: and fixtures.) 2.234... @: 259.86 
Booksand “stationery ee. ue aecy) tee. ee 1,837.36 
Stam pswisie cen eee eka ren he ORR Pee en, 631.79 
Miscellane@Ous.s) a, «Ribas oni cotewieeee sherk 872.28 15,197.50 
Total permanent improvements and extension.......... $140,731.11 
MAINTENANCE APPROPRIATION DISBURSEMENTS 
Salartesi@imedical.wa vac oe bs eee eae $ 61,467.00 $ 2,904.80 
TORS CUCL Code ure cabls | ane eocas! heehee tens 580.00 1,326.46 
INunsesrand attendants. Aoi 2 ve wutos 1,693.09 iN EP Ee. We 
Cooks4ands servants; efa.2 oie deen ewes 4,291.67 5,861.90 
NisceHlancous Wale. sa Mie er coe 54.18 351.25 
TOCA S iad boc Ge ee tie. ate $ 8,085.94 $ 13,521.88 21,607.82 
SUPPLIES 
Bedding and AMGEN 6 wen we aa Bee ae ee $ 1,662.07 $ 1,436.49 
Crockery ANC SILVEN iA. s ea ee ae 230.63 1,055.92 
Driues-and medicine... ee eerawe ee ee 1,007.05 1,419.33 
MISGCELIANCOUN Stes th. ec ee ee a ee oe ken 1,989.39 2,256.09 
TODAS 00 sali chink alewe teetenee tetas $ 4798.14 3” GAGT.83 10,965.97 
PROVISIONS 
IVE CAT Setecpe ei viene teeta Wek Cas otal a oa ina $ 64,804.94 $ 7,361.50 
BCR aes 2 a wale ee nee aa ah, ae en 948.48 2,045.76 
WS SR ea i aaa Md bk te Ne area acai cu eet 3,201.10 6,644.71 
Vevetables.and. triits: oc x5. ibsncte. clo. Mes 1,156.46 2,123.54 
Groceries mi gen eae ok aS en fe ee eae 5,874.39 12,236.25 
Miscellaneous aera viie sete Deiat d Lie eee tots 180.32 17.75 
EP OLAIS estate ar aree te tiene eR ceueennae $ 16,165.69 $ 80,429.51 46,595.20 
EQUIPMENT 
BUNiUre cand <1 sures ie ius. eee ene $ 485.00 $ 237.14 
LA SLPUINTSN taupe hols rove es Ni elena aa oes L719 326.51 
MiISCELl an GOUSiar mies w ole atsti ote nice ere od 257.52 
TOtaS ca eee ren ae $ 744.27 $ 563.65 1,307.92 
OFFICE 
Stationery.and DoOKsS?. «tr eetuee se ae $ Z2aD.D Ike SD 21.00 
SUATADS Se. Tae See Ree eae Us cae ae ae Ib 26 ee 206.80 
Miscellaneous: 34 ti 28 he aa. Pastas 1.66 1.00 
OUI DMONt arr. ee ee ee 24.67 
Totals At eee Oe a ee $ 9° 888.49°°$) 95847 641.96 


Tue Norra Carorina SANATORIUM 


POWER AND HEAT 


State 
Fund 
lpsail CGS Ce OG, EN Rens a led SSE SR ie a 604.00 
“SUIS RIN GRO Se Mateeds ERR) ART ee 3,419.66 
“ORCS TYEE CRUISE ne aed del i aa 8.69 
ROE: . 1s oe SG aes 1A Wid % 4,032.35 
LIGHT 
LGM TN Sete dls oso, ole he ee bse y wie els 177.00 
WEEE DI UDR Ore 8 ee ahead 495.13 
TCLS IGE ih cde RA Me Ss a $ G7 2.Lo 
‘ WATER 
Neem ree ne Oe ato ate ene oat $ 229-00) 
PeUECUES A ee rch he glee eda 590.89 
TOI.) eal ek ub TU A 1,132.36 
SG, OTE O08 A oe ORR aed Oe i Pe 234.55 
Vite LAMICOUS ig i.% wo sibs oS «valde ae ale oleae 50.00 
“DM AERIIS saga pan Ra et a ie iD ae eer Se ao tou 
REFRIGERATION 
LLODR TOE lg ey ae 115.00 
Be Me ge onc sc cal tin os celis Wwe ¥ ah 301.41 
ANGLES slr aes er 416.41 
PLUMBING AND SEWERS 
Je OTR! gh 8 250.95 
NUECES lok 2 Ln rr 42.18 
I MME ME ANGE iu i Aral gn ob hav arak oy ot oladeh shate 29 Ssle 
FARM 
LET WBE GCS AO, Leh a en ae 5 61.47 
RUS TO ree en eet eh td sata ate slelalae s 1,004.50 
MaCMINEHYy alld LOOIS. ...: 008.1.) e eile a oles 73.64 
Seed and fertilizer........ ORE ER Oe a 244.77 
[Peyton 28, Me SOE 1,316.40 
LESS LY Es' on pele lath seeioe) Oe GSPN oie Lis ae 1,268.00 
eC SIEM O I Satie terre | ner eee akg Lotto 
LER SOG RS «ee LE Ty ae Bet na a ai 
TOU ae eer eee wean ard ee $ 4,045.51 
DAIRY 
PSG Ss Atte GL LOS ie meters cesses ccs ee 
Ee Pal Og Wires Toe ee cr aeten te ty aware et ord ah 6.00 
TGV Ors COCKE aor ie inn Bee eee Oke ales 157.85 
HD GAPEGTERSE by > ace fs cad Ook) FORE ae ae ea ae ee 60.74 
SUIODLLCS A te Pe RA Fy as, oe ahd ae bs 201.038 
ERC CCMER Teel) PRMD URINE EES uel yl suSia tgs: ane ater ane ls 1,554.26 
iLattive Ri). Ae eos Sek ee eee tae, eines ener tt enn 529.38 
SEE TL COe ARP EER Beg eA oY te oslo doer alls yes 
DIPSCelLlIANGOUS Wiettehota > ssc oo oiee 44 acne bea ss 16.62 
BL OLA Seee Ne eee en ed Nay Pte Sc hg cs $ 2,525.87 


Sanatorium 
Fund 


$ 1,338.02 ° 


9,233.55 


$ 10,571.57 


$ 331.45 
616.57 


$ 948.02 


$ 572.88 
301.05 
401.00 
379.00 


$ 1,654.83 


$ 249.60 
640.76 


$ 890.36 


265.00 
29.82 





$ 294.82 


$ 54.81 
25.25 
873.40 
3,642.35 
989.10 
5,374.33 
120.53 
14.29 


$ 11,125.06 


$ 9.90 
36.27 
575.46 
10.00 
423.52 
4,799.35 
1,112.83 
15.00 

15.00 


$ 67,085.33 


35 


Total 


$ 14,603.92 


1,620.15 


3,892.33 


1,306.77 


587.95 


15,170.57 


9,611.20 


36 ANNUAL ReEportT, 1920 


MISCELLANEOUS 

State Sanatorium Total 
Fund Fund 

ZA DOPIy sO. cheer tale wat Use bel iape ewan te bass etthe ee Cake Bet baes $ 90.60 $ 20.23 

Training: sohGols wis kca i Rak eee alata 26.67 33.56 

MCSSA BESTA kr CNET PRRs ae nc Rate wane 240.17 400.20 

EFA CRY O05 Ee Sas ee ceicstein e aeeae ach eae Ee 1,495.90 2,202.09 

Transportation and drayage............. 4,666.70 3,625.63 

TVS UL ATIC CMG erties Be Bes aed ete hae tee cn een 162.50 

ReMIMaswe veal: pak, cee On ehcteeletia. re acactamrenee vee 298.89 386.50 

Freicht and "@xpress ec i 2k Pee val eeiens 814.99 1;251.93 

FL SS a a cre PANS WAdesilspnstatpen aka aalietier Cat Rica he ue Lennaie Bikaner 2,035.50 914.25 

TIAN ESCA D 6,9... Re ee ant eee yee ee 35.65 

SHER Lyk, St AN Rist Cerca Sit vel Sa ae Rca 921.45 622.27 

MUrniturevan GsGxtures a sie ame Slace tee neyal) 55.25 

TPOtAIS ip taal a te ake ene | Seer ae $ 10,594.57 $ 9,710.06 $ 20,304.63 
Return, checks; charged at Bank. of Hoke.) eee 71.04 


Total maintenance disbursements $ 55,000.00 $ 93,216.39 $148,287.43 


FIXED PROPERTIES 
NovEMBER 30, 1920 


Real estate and’ hospital @rounds.. 2.) eclece ee ee IN Ed, ae $ 20,000.00 
Administrationy building . wae ales ee. Alan ae eee ee 6,100.00 
Superintendent's ‘residence oo.). ns. es oe ee ee eee 7,150.00 
INUPSES? NOTES of ck Wie cod odd gs Syaange b> eielne!'s elle ate ORIEN eee 10,200.00 
Assembly -hall..dining hall-and, kitchen... 2.22. e. 7 eee 8,560.00 
TAT ea ial dee ele Wisco bela be? sw sek duce salle en o-sn ents re nee 184,684.31 
Opéensair, cottage No. 1. ai. Re a. Ls, ice eps eee 3,700.00 
Open-air: cottage "NO! 2 epi ote ene ols widen pag a) oe ne et 6,731.84 
PMOW HULL wetter we. oo) eke lane! gran view aa) Mec Neligs ie Uo sso hu eae 1,750.00 
Physician’ ¢ wes den Ceo ,.<se eee et ee. eee IAG Sayles San ae ES 2 3,500.00 
Warrior Ce SET ERROR a ee Oe Sac 38,455.64 
Dairy’ “buildings cuG wos WR OL Ae Ee eee Mg: at ee 23,726.10 
Power,héat, waterzand: lights 0).0).02 40a eee ie ALOT UA e 
Telephone. ‘systemiine. oss Ae BR 6 a ae cane 3,290.37 
sewer system-and disposalsplant. 2). hoes ee iene eee ATI SSS 
Mole) emer ey en earn PE MPI MG Gave ian Mh POU i oe ae $380,039.12 
INVENTORIES 
NOVEMBER 30, 1920 

Parm | SUDDPlICs Ay eure sy Bis sean ea Je) arene $ 1,846.60 
Machinery  andseduipment Ri. gh). vows <cenicielpealenneeneereae 2,810.90 
Lave Stocks. Fen ie ie esa Seth ase eer cae are ey eee cece ne 1,875.00 

Total eran.) (0 ia Ae ie coe cha es Deny are, cee eae SRE ME ara ASTIN $ 6,532.50 
Dairy. SUuppliedine ees. (et. a: ae eee Vila Mero atts $ 2,647.40 
Detve Stock es OE a a on CRO Ay oe Deel Gath a ae eee ie 18,490.00 

Total dairy sedan 2 ee atone Oe ce ae ieee ae ee $ 21,137.40 


°, a a 


Tur Nortu Carotina SANATORIUM 37 


INVENTORIES—Oontinued 


vee Se sp OP Vag eda de a CRC RHE RUS Radin Sear e  Air $ 2,575.00 
gh NEE i Resa Wala » ral ADR COTS» yh ga Si Bg NR Si ti laab the edd POSER bch th sag AaB 17,208.29 
aa Ou ae aN ELT KONG 8S) ae alae neat a Kea Ua Ay laa AR oi At OM baa inal aM fate 6,441.40 
Sere ome TRI LV CI parte fe eas hed ee Mee ee ieee ee een 542.40 
Remmi CliOe me wt ee ie ok ee eae tit 2 Bel AUR AWE A: 1,750.00 
Pee imeteoipplics and: 6Guipment: 625 foe ee ee ee Ae ee 14,677.05 
EE OEE SIRS OG, OS IgV REIS GA TT Se a IANS tele eo a Le a 7,145.45 
DEMME MeCILOOIONOO NM Gee re taille t mciee hee Sickie cacec eae ole bela Dates 198.16 
Pete Tie VOLOreo nur te torn. 5 cite: ck sic cals cote oaks coe Chale ad itelas 2,182.20 
EERE Susie, Sk or llega Cle lek MR 2c Ae ea a Pd 150.00 
le EGE S, COPA OAR cE Ae OU Se eg NE dd rh ll ae ey aa, He a ae a ae a 131.00 
ee ee ere er ar s, MemrneT i ee et AAV eR arn og a’ Mea el g's. Eble ele seal etal 135.00 
PROMI POC =D SINGS ede. te eke be ale be ce ca ala slate wales ccievele Seas 200.00 
ee CITT = SLITCGS ans kee ie ok Gee each et clee ees eas 408.00 
Wetom ei DIOl—-EXLENSION: orc cess ee Daas et ses es cece cesuwedeuse ss 1,057.00 
Office equipment—extension.......... Tegra crn Ne aac ht irs dar a ahd, 3,473.00 
faporacory and medical office equipment........000. 2.0000. ee 4,439.05 
Piano on and Crayase 6quipment. ». .... sedics cule weeek ce sie ss 3,650.00 

TNS ote 8 Gh Saag Ran A Oe eee. Oty. UC ean T Ee $ 94,032.90 


ACCOUNTS PAYABLE 
NOVEMBER 30, 1920 


State Red Cross Seal Commission (board and treatment soldiers 





CEU re re ied Cea Ae 6S SIRE Boe se hy ASA a ne I Sao leuawd 
State Architect’s certificates unpaid: 
Ree CRN OC AQ So ay sek aa hale pols dee wood bee's $ 1,530.00 
REDE erm ORLA Her ebeh esc tcicce sly a et ety Giai ns ordre Em aye es 1,530.00 
CRO REDE AOn TNC TST DOSRSAGES eT oire e Nat rR ea PAP ea co 1,402.50 
Bem CAEN ctl Ostraie eter vake gale Wan Sis 6 auelis a ale) sie TS oe 545.00 
Wes Cay mY | clccsisun hse Seginporagtel’s, webs a ef ava es ace wel axe 551.00 
BO Ee Meee et a ey Sr eset ia). a Gage mr Woe e he ata co We areer ete bandh lata omy 5,558.50 
See Me Selita COM Dall Vem ELOATI UA sao «: aoeteacn ananeoee leclene to) etatie wh eidie es levers. le 314.93 
STR OIe Me ONT Dell owl OLe DUOTIO seis, fa: ciate ope oa! lelalente isl @ Wica le babel axa) 'a ne 1,000.00 
ea tlls Om O1a SStOi COM PAI Yss LOCO ens wie ea ies sd erdlong wales letous ayn k wieysre 490.98 
Virginia Machinery and Well Company, pumping outfit........... 771.09 
AMET OY MV OGL chic OLS Lice eter Out here cai ote ah ett al stata, ack cede oleh elie § ovale ease 2.50 
(il se LelepnOone COMPANY DOULNEINE PINES oc pects. wuspers ole 3) bie whe, okoltys 10.60 
PaPeMecainy exp, -Anier, sanatorial (ASSEMDILY....). ls bua vie eee OL35 
NVA EPVLOAT CINE A DOTO COT aera tit dercie siatsisitte shes a sabe! s: Shella! qiicha. oho teremerss 5.00 
Dele V AV OSes COMMDANY.: GUALIOLLOS gan cecewic sctcieie « eke olsen stereos me 8.58 
Poul ade sv OOTes COM Pally je GC OALLOLLEG  ei.qont, sietere) ties are tes: oi alvoewa’ eye mages 9.00 
Remington Typewriter Company, Raleigh......... ES Maes eee he 1.00 
Mires Hee C mWilliamis atraveling CxXeNSS ja. < oune lead sce one came 139.88 
MULE Oce © OL DaL lL te ECA LOle Ls. wMele ais ctctars ayer Newey ciety s obs lgiet outa: «cies ara eames 906.46 
POUT eer COL DALY 7 GL COU SD OLO yahe trite aioli eie eteteiteucia: > eh ha) shes apes a elevetals 487.34 
Georre Marshe Company a Halereiie sey cis bie stele cs ole ob Hans sea 8 wee 751.95 


Tea. ILO. COMPANY LIC. po NOTLOLS aie stars to eis ont hese c/o ehacel hor eidlaleca elder alt 50.65 


38 ANNUAL Report, 1920 


ACCOUNTS PAYABLE—Continued 


Lexington Grocery Company, Troy; N.°C.. 232.262.) eee eee $ 202.48 
Kinghan & Company, Norfolk... ou... 2. 5. ee oe eee 100.65 
Kronenberg X-Ray and Supply Company, Baltimore.............. 17.07 
J..M. Thompson Company, Philadelphia 22 awa. eee eee 1,144.11 
Js. Covington, Timberland, IN. Ci. cco eee eee ee Se1eD 
Jes. Maultsby, Timberland, IN, Ci. ..2).. 22. secmmommen enero neem 6.75 
Refund board and treatment—Alberta Hollowell.................. 42.00 
H..F. Hann & ‘Company, awnings removed... anni ee ee 17.60 
H. F. Hann & Company, repairs Snow-Hill Cottage.............. 50.70 
Hi. FE. Hann, & Company, work on dairy baraineoe soe ee ee 13320 
H'. F. Hann & Company, balance contract.................e- Re are oe Pes 
H; F. Hann & Company, ceiling left wing Inflpmary jo... ee 420.58 
L. FEF. Waldrop & Company, balance on contract........t..5...0.66 3,108.34 
Otis.Hlevator Company, balance on contract. 2 geek eck eee 2,725.00 
General Fire Extinguisher Company, balance on contract......... 3,568.40 
Citizens sLumber. Company eecs ssc. 054 hohe oo oo ee 450.27 
Grinnell Company ai oic co oc. 0 wicse ole leh cisipnue ok ten enn ee 504.07 


f A 0) EN ec PRE a Abort nn ee hee ood ays $ 35,248.96 


ANNUAL REPORT 


OF. THE 
NORTH CAROLINA TUBERCULOSIS ASSOCIATION 


1920 


[39] 


OFFICERS AND BOARD OF DIRECTORS 


Mrs. Gordon FINGER, President, Charlotte, N. C. 

Mrs. CHARLES R. WHITAKER, Vice-President, Hendersonville, N. C. 
Dr. L. B. McBRAYER, Hxecutive Secretary, Sanatorium, N. C. 
Dr. OTHO B. Ross, Charlotte, N. C. 

Mrs. CUTHBERT MARTIN, Wilmington, N. C. 

Mrs. T. D. Jones, Durham, N. C. 

Mrs. C. C. Hook, Charlotte, N. C. 

Dr. W. L. Dunn, Asheville, N. C. 

Cot. J. L. LupLow, Winston-Salem, N. C. 

Mrs. MARK QUINNERLY, Greenville, N. C. 

Mrs. 8S. H. Brown, Oxford, N. C. 

. Mrs. J. L. WeETMorRE, Arden, N. C. 

Mr. HAMILTON C. JoNES, Charlotte, N. C. 

Mrs. R. C. WARREN, Gastonia, N. C. 

Mrs W. N. Hort, Candor, N. C. 

Dr. CHAS. L. Minor, Asheville, N. C. 


A. W. Snow, Assistant Secretary 


[ 40] 


ANNUAL REPORT 
NORTH CAROLINA TUBERCULOSIS ASSOCIATION 
1920 


We desire to direct attention to the Annual Report of the North 
Carolina Tuberculosis Association. This is a volunteer association, 
and is financed wholly by the annual sale of Tuberculosis Christmas 
Seals. While it has no connection whatever in fact with the Division 
of Tuberculosis of the State Board of Health, yet its aims and purposes 
are largely the same, and the absence of overlapping and the close 
cooperation with tuberculosis work of every kind in the State make 
it a most valuable asset in the fight against tuberculosis in North 
Carolina. In fact, but for the codperation of this Association the 
appropriation to the Division of Tuberculosis would have been totally 
and wholly inadequate in keeping pace with the advance of tuber- 
culosis work in our State. 


We are in position today to use to great advantage 100% more 
money than is in hand from both the State appropriation and the 
State Tuberculosis Association. 


Let us mention one or two items of work done by the State Tuber- 
culosis Association: The Tuberculosis Clinic conducted by Dr. J. L. 
Spruill has examined 1,419 people, of whom 25% were positive for 
tuberculosis. It has aroused the interest of the people in tuberculosis 
to such an extent that we expect to have more than one county 
Tuberculosis Hospital in the near future. 


The Moving Picture Car for negroes has carried the moving picture 
theatre to the negroes in rural districts, spending one week in each of 
fifty counties, and 42,861 people have seen the pictures. Films on 
Health, Civics, Agriculture, and other subjects of value have been 
presented, and usually there is shown each evening a. comic picture, 
bringing out rollicking fun. 

We desire to direct your earnest attention to the detailed report 
herewith. 

In submitting report of the 1920 seal sale your Executive Secretary 
advises that the following local chairmen have not made report of 
sale, and the amounts due from these towns are, therefore, not included 
in this report; Mrs. P. W. Vaughn, Durham; Mr. E. F. Redding, 
Lucama; Dr. E. G. McMillan, Maxton; Mr. T. I. Limrick, Monroe; 
Mr. Alex H. White, Polloksville; Mrs. W. W. Williams, Rocky Mount; 


[41] 


49 ANNUAL Report, 1920 


Mr. L. A. McGeachey, St. Pauls; Dr. B. H. Palmer, Shelby; Mr. G. G. 
Nichols, Sparta; Miss Elizabeth Garden, Spray; Mrs. J. W. Manning, 
Williamston. 

According to the sale of seals last year we are due to receive a 
total of $2,148.84 from these eleven towns, of which amount $535.96 
will be due the Executive office. A report of this amount is made 
under schedule “q” and will be referred to later. 


It will be noted that the amount raised in the seal sale of 1919 
exceeded this year’s sale by approximately $3,500.00, but it must be 
borne in mind that the financial condition of the country was vastly 
different in 1919 to what obtained in 1920. The outlook for an 
increase in the sale was bright until November, at which time the 
cotton mills and other industries began closing down, thereby creating 
a depression in the employment of labor, with its accompanying 
shortage of money. 

These conditions did not obtain in Greensboro, Winston-Salem, 
Charlotte, Wilmington, Asheville, or towns of like size, but it will be 
remembered that North Carolina has numerous towns with a population 
ranging from 1,500 to 7,000, a large number of which are “cotton mill 
towns.” It was therefore in these smaller towns that the financial 
depression was felt worst and was reflected in a much smaller sale 
of seals than in previous years. 


It will also be remembered that the purchasing power of the dollar 
was depreciated in 1919 to about 50% of its normal power. This 
condition is improving, and we believe as much or more work can be 
accomplished this year with the receipts realized as was done last year. 


Much credit is due the chairmen and committees in the larger towns 
above mentioned for the success of the sale this year. The harmonious 
organization in these towns was wonderful; add to: this the interest 
of these workers in the health of their citizens and the determination 
to raise sufficient funds that the tuberculosis work may not suffer, and 
we begin to understand to some extent the success which attended their 
efforts, all the larger towns mentioned showing increased sales over 1919. 


The colored seal sale chairmen working in 42 counties exceeded the 
amount raised last year by a few hundred dollars. 


We had intimated that $8,500 would be required to operate two 
traveling moving picture outfits this year, and prepared budgets for 
the chairmen on this basis. You will notice the net receipts were 
$3,000 less. But again when we realize that the amount raised by the 
colored people of 42 counties, most of which was raised in the rural 
sections, exceeds by 6c the total seal sale in North Carolina for 19138, 
we feel like saying, ‘Well done, thou good and faithful servant.” 


Nortnu Carortina Tusprercunosis ASSOCIATION 43) 


The mail sale was not used as extensively this year as last. There 
was a total of 12,500 mail sale letters containing 100 seals and 1,200 
letters containing 500 seals sent. It will be noticed that the cash 
returns received from this number was approximately 33%, calculated 
on the basis of $1.00 per letter, which is the same in proportion as 
the cash return of last year. 

Before taking up the analysis of receipts and expenditures for the 
fiscal year it would be well to consider the policies and plans of the 
National Association for the coming year. 

At the conference of Tuberculosis Executives at Chicago, January 
5-6-7, it was voted that the official date for the seal sale be from 
N ovember 25th to December 25th. (Thanksgiving to Christmas. ) 

It was voted that the sale of Health Bonds be continued, but that 
they be smaller in size. The seal design is to include Santa Claus, 
the child and the double-barred cross. 

It was decided that State Associations purchase supplies from the 
National Association on the same general plan as last year, providing 
for payment on July 1st, August 1st, and September 1st. 

It was the sentiment of the Secretaries present that the percentage 
of the seal sale proceeds to be paid to the National Association shall 
remain at 5% of the gross receipts. 

Dr. Hatfield stated that one Director of the National Association 
is to be named by each affilated and represented association, and that 
the selection of this director be made at the annual meeting of such 
association. 

In defining the meaning of “affiliated and represented associations” 
the National Association states that they must maintain the following 
qualifications: 

1. They shall not be under the direction or control of any state or 
local governmental agency. 

2. Such association must have: 

(a) A membership which has representation and participation 
in its affairs. 

(b) A president and other officers, an executive committee, a 
salaried executive or similar officer, and a board of directors 
representative of the territory covered by the association. 

(c) The membership must meet at least once a year; the board 
of directors or executive committee must meet at least four 
times a year. 

(d) The association must operate under a constitution and by- 

- laws, with an annual program and budget. 

(e) The accounts must be audited by a certified public account- 
ant or his equivalent at least once a year and a copy filed 
with the National Association. 


44. ANNUAL Report, 1920 


(f) An annual report of accomplishments, receipts and expend- 
itures shall be prepared and made available to officers, 
members and the public and given all possible publicity. 

(g) All associations shall comply with and carry out the aims 
and objects of the National Association, submitting such 
reports as may be required by the Association, and must 
accept the responsibility of working out and sharing with 
the National Association means of financing their mutual 
activities. 

It is further proposed that the Executive Committee of the National 
Association shall be the sole judge of the foregoing qualifications 
for affiliated and represented associations, and of their right to tmem- 
bership and representation on the Board of Directors of the National 
Association. 


At present the affiliated and represented associations consist of the 
State Tuberculosis Associations and five local city associations. Thus 
it will be seen that the State Associations will have representation on 
the Board of Directors of the National Association to the extent of 
53 members. These directors may not be elected for a period of more 
than two years and are not eligible unless they are directors of the 
State or local organization. 


Your Executive Secretary recommends that the qualifications men- 
tioned be submitted to the chairmen of our local organizations in 
order that they may organize associations to conform to these require- 
ments if they so desire. 


On December 28, 1920, the National Association advised your Execu- 
tive Secretary that they had registered the double-barred cross as 
the trade-mark of the National Tuberculosis Association and that its 
use would not be permitted by “affillated and representative associa- 
tions,” unless all matter bearing the trade-mark was first submitted to 
the National Association for approval. In this connection it will be 
remembered that the “North Carolina Anti-Tuberculosis Association,” 
which is the parent of our present association, was organized in 1904 
and has at all times used and endeavored to popularize the use of 
the double-barred cross; and that the National Association was not 
organized until the same year, and therefore has no priority of right 
in the use of the double-barred cross. Your Executive Secretary further 
submits that it is not feasible to submit material to the National 
Association before publication; that to do so will occasion delays in 
our work that will be exceedingly harmful; that it will defeat the 
purpose of having an emblem to distinguish tuberculosis work in that 
its use will be so restricted that it will appear on pamphlets and 
publications only at rare intervals. Your Executive Secretary believes 
that the use of the double-barred cross should be so restricted as to pre- 


Nortu Caroruina TuBERCcULOSIS ASSOCIATION 45 


vent its use by unauthorized persons or organizations, but believes that 
the state and local organizations should be given full authority for its 
use on all matters approved by said Association. This:matter is under 
consideration by the National Association Directors at this time. 


The Executive Office is confident that through the use of the double- 
barred cross and the publicity given the work of the North Carolina 
Tuberculosis Association during the past year that the Association has 
gained wonderfully in prestige and that its work is better known and 
approved in the State today than ever before. A great deal of credit 
for this is due the local associations that during the past year placed 
their work before the public by means of the press and publications. 
The favorable opinion created and the popularization of the cross will be 
much curtailed if the policy of the National Association in this respect 
is pursued. In this connection it is proper to say that the publicity 
given the tuberculosis work in general and the seal sale in particular 
by the newspapers of Winston-Salem is worthy of special mention, 
as is the work of Dr. R. L. Carlton, who made it possible. 


By referring to the analysis of expenditures under schedule (a) it 
will be seen that the campaign expenses for the year totaled $5,937.62, 
for which an appropriation of $3,000.00 was made. Included in this 
amount, however, is $1,319.60 paid the National Association for seal 
supplies. Formerly, these supplies were furnished free, the State 
Association, however, was required to pay 10.7% of the gross receipts 
to the National Association, which amount was reduced to 5% and the 
local associations required to pay for all supples ordered. The State 
Association shows a saving of $500.00 by this arrangement. 


The cost of postage stamps was also a large item in these expenses, 
a total of $900.00 being required. Of course a large proportion of this 
was used.on the mail sale letters, it being required that we enclose 
a stamped, self-addressed envelope for return of remittance, with all 
seals sent out. 


The subscription blanks as recommended for last year were secured 
at a cost of $171.00, and were, we believe, productive of good results 
in increasing the sale of seals and bonds. 


The salaries for the entire office force used during the three months 
of the campaign are included under this heading and aggregate a 
total of $1,842.09 for the 8 employees used. 


Under schedule (b) a part of the appropriation was used for the 
purchase of a dairy wagon. This appropriation is a balance carried 
over from 1919, as it was thought wise to let it continue until the 
dairy plant was completed. We are pleased to report that the dairy 
bottling plant is now modern in every respect and that the Sanatorium 
appreciates greatly the assistance given by the Association in this 
respect. 


46 ANNUAL Report, 1920 


(c) You will notice a total of $5,558.50 has been expended under 
the loan appropriation to build a workshop to be used for occupational 
therapy and a garage building. Without this loan it would not 
have been possible for the Sanatorium to have erected this building 
until the latter part of this year or possibly next year. We will 
then have had the use of the building two years earlier than would 
have been the case without this loan. The Sanatorium expects to 
repay this loan during the present year and cognizance is taken of 
this in figuring the assets of the Association for the year. 


The building has made possible a wide range of vocational work 
that is important in keeping the ambulatory patients contented and 
has also enabled the patients to make salable articles and thus contribute 
toward expense of treatment. The shop is equipped by the Federal 
Board for Vocational Education with a great many modern appli- 
ances that enable the patients to manufacture articles that would 
otherwise be impossible for them to do. The shop is used by discharged 
soldiers and civilian patients alike. 


(d) The appropriation for a consultant clinic physician has been 
a distinct addition to our work this year. The work was begun on 
May 1, 1920, with Dr. J. L. Spruill as clinic physician, and is steadily 
growing in popularity. We have been forced to make engagements 
several months in advance in order to take care of the numerous 
requests for this service. At this time engagements have been made 
up until July. During the ten months the clinic has been in operation 
a total of 1,419 examinations for tuberculosis have been made. Ad- 
dresses on the nature, care and prevention of tuberculosis have been 
made by Dr. Spruill at 43 places to a total audience of 8,446. This 
work has been instrumental in interesting towns and counties in the 
tuberculosis problem to the extent of securing a pavilion addition for 
the treatment of tuberculosis to a general hospital; for the ordering 
of an election to vote bonds for the purpose of erecting a county 
sanatorium; for interesting local units in providing public health 
nurses, and for interesting corporations in providing better care for 
employees, 


(e) A loan of $200.00 was made under this appropriation to Miss 
Alice B. Casey to complete the course in public health nursing. 
Immediately upon completing this course Miss Casey accepted the 
position as County Public Health Nurse of Robeson County. Owing 
to the shortage of Red Cross funds in this county Miss Casey has 
since been transferred to Davidson County. This amount makes a 
tetal of $300.00 loaned Miss Casey and is payable to the Association, 
without interest, during the two-year period following completion of 
the course. This account is carried in the assets under schedule (q). 


North Carorina Tuprercuiosts ASSOCIATION 47 


({) No expenditures were made under the appropriation to pay 
for board and treatment for discharged soldiers, as the Government 
is now paying these bills promptly. 

(g) $225.00 was used under the colored public health nursing 
appropriation to pay the salary of Blanche Hayes, a colored registered 
nurse attached to the Health Department of Edgecombe County, 
immediately under the direction and instruction of Miss Clara Ross, 
Public Health Nurse for Edgecombe County, for a period of three 
months. This enabled the Health Department to provide visiting 
nursing service for the colored patients during the influenza epidemic 
of last year. Financing this work was of a temporary nature and was 
done to demonstrate the usefulness of colored public health nursing 
and aid the county until funds could be secured to continue the work. 
Blanche Hayes is now on the staff of the Charlotte Health Department. 


(h) The appropriation for additional X-ray equipment has not been 
used. At the last annual meeting it was recommended that this appro- 
priation be continued, as the Sanatorium would need some additional 
X-ray equipment as soon as the new infirmary and office building were 
completed. We had expected the building to be finished before the 
expiration of the fiscal year, but such was not the case, and we ask that 
this appropriation be continued for another year. 


(1) Not used. 


(j) The appropriation for the moving picture car to be used among 
colored people was sufficient to purchase and equip the car and make 
the circuit of all counties participating in the sale of tuberculosis 
seals. ‘This schedule was completed in December and upon examination 
of the truck used we found that it would not be possible to use the 
same truck without extensive overhauling. As it was not desired to 
interrupt this service, that was proving of such help in educating the 
colored people in regard to tuberculosis, it was decided, upon the 
sanction of the President, to purchase an entire new equipment and 
operate both cars during the coming year. 


The new car is now in operation and repairs on the old car have 
been completed with the exception of repainting, which can be done 
in a few days. We have been unsuccessful in securing a properly 
qualified man to operate this car. We have not, however, pushed the 
matter, as it is estimated that it will require at least $8,500.00 to keep 
both of the cars in operation for the entire year, and your Secretary 
concluded this was a larger amount than you would deem advisable 
to spend in this branch of the work during 1921. Since the car was 
put in operation on March 15, 1920, it has visited 50 counties, staying 
one week in each county, and has shown and explained health educa- 
tional pictures to a total audience of 42,861. In addition to exhibiting 
the pictures, Dr. Ransom, the operator, has visited over 1,500 families 


48 | ANNUAL ReEport, 1920 


in their homes, teaching the principles of good health and aiding the 
members in many other ways. 

(k) The appropriation of $2,000.00 for health work among the 
negroes was insufficient to carry out the program for the year and 
fulfill our contract for the year with other agencies codperating. This 
appropriation was used to pay one month’s salary for 41 colored super- 
vising teachers. By codperating with the State Agent of Rural 
Colored Schools we were enabled to secure approximately one-sixth of 
the working time of these supervisors. We have made use of this time 
by having the supervisors instruct the colored people of their county 
along general health lines with especial reference to tuberculosis. 
During the year these supervisors have reached 311,005 by word of 
mouth; distributed health educational literature to many thousands 
more; given illustrated lantern slide lectures to 15,000; raised $5,253.13. 
in the seal sale and established the Modern Health Crusade in a 
number of colored schools in each county, enrolling a total of 16,500 
crusaders since September, 1920. You will be interested to know that 
the deaths from tuberculosis among the negroes have declined 21.4% 
in the last. two years, according to reports of deaths sent the Bureau 
of Tuberculosis. There are 1,791 deaths recorded in 1918 against 
1,407 in 1920. 

(1) Self-explanatory. 

(m) The major portion of the appropriation for moving picture 
films was not used, as plans for photographing the pictures desired 
have not been completed. We did, however, purchase three  1,000-feet 
films from the National Association and have made use of these films 
on the moving picture car and as a loan to any party that could 
secure an exhibition of the films in either theater or school. The films 
have been exhibited in the latter manner 14 times to an audience 
of 1,700. 

It is hoped the Association will continue this appropriation to be 
used in the manner hereinafter explained. 

(n) The Modern Health Crusade has been enthusiastically received 
this year. A total of 40,224 crusaders have been enrolled since Sep- 
tember, 1920. It will be noticed that $989.65 of this appropriation 
has been used. Of this amount $465.64 has been recovered by the 
sale of supplies, and there is due the Association at this time $259.45, 
which makes a cost of $264.56 to the Association for conducting the: 
Crusade. This difference in receipts and expenditures is accounted 
for by the Association furnishing supplies to the colored schools at 
one-half cost. This was necessary, as it was found that the colored 
schools could not raise the funds to pay the entire cost of crusade 
supphes without financial assistance. There are also a large number 
of sample copies of supplies sent out without charge. An item for 
mailing supplies to the amount of $40.00 is also included in expenditures. 


Nortzi Carorina Tusercunosis ASSOCIATION 4.9 


We are hoping to simplify the Crusade somewhat this year in order 
to overcome the objection of some school authorities and thus obtain 
more universal adoption. The Crusade is filling an important place 
in teaching health rules to the school children by performance, and we 
strongly recommend its continuance. 


¢ 


(0) Self-explanatory. 


(p) The miscellaneous expenditures under this schedule are all 
self-explanatory. We have endeavored to keep the miscellaneous expend- 
itures within the appropriation allowed, but find the amount was 
inadequate, as we were forced to pay bills from this account not 
especially appropriated for. 


(q) From this schedule it will be seen that the possible assets for 
this coming year total the net amount of $22,384.79, of which amount 
$14,380.27 is on deposit at the Merchants and Farmers Bank at 
Aberdeen, N. C., as shown by certificate from bank attached hercto. 
It will be noted that the certificate from the bank shows a balance of 
$14,452.02. The difference is accounted for in the financial statement 
in outstanding checks. 


A total of $8,745.50 is due the Association by the Sanatorium 
account of loans to cover bills for board and treatment of discharged 
tuberculous soldiers and for the erection of the building for ocecupa- 
tional therapy. It is expected that this amount will be paid during 
the year. 


We are attaching hereto a budget carrying recommendation for 
expenditures somewhat in excess of the total of our net assets, and ask 
that this budget be adopted and the Executive Committee authorized 
to carry out the recommendation in so far as is possible with the 
funds available. 


BUDGET OF NORTH CAROLINA TUBERCULOSIS ASSOCIATION 
For the fiscal year ending February 28, 1922 


Pern CLUV eM LTCOLOL semi bette erat tt he TR ee at Ro Sts! oe Sen era oc Biivers « elbesie $ 1,800.00 
PPC ACLOMG Of el Ul Le UE.c Aueatnc co Meee Wits Wiel aig ake ls sec eealecate kee ct alera iy 3,000.00 
(Catia aNeex NeNSCGm Sea Le Sal © )i gn toad os hate ancy usenay-cuc shallot stsaesusleiiun © cbuats cue 5,000.00 
lice NySicianwsalary, 95,000, Expenses $1,500) wba ae ce as cuales 5,000.00 
Clinic Physician, for examination of school children.............. 5,000.00 
Scrolarshipnpiupl Ganealth nurse yak Broan otee. SNS tieve eT oy ae 500.00 
Me HOA be TO VOC IL MDIIECT Uric \.e¥e hashes ay des s¥ekehede es sales Sieuaaotnal bai tier 650.00 
Nea Em OVIti SEO LCLULCESCILV 1 CO et cle cay ete Zin. tie tue octane or ater plete Ucs che teal oe 5,000.00 
INC STOP CALLIN WOTw tse ee Nets Fe htedd 2d ais ol Hem es Meese ht ha Jey 3,000.00 
Expense executive committee meeting......... aN WINE te cv ae Place bade alee 500.00 
PL MA rh LTD So ns Wnts Orta chateau ete els ear tel x eo Fe Se aA IRR CT eeeteee 1,000.00 
Research work at Senetocian SWB ona tencre aa EWS erCitnN iON Ap Waal beh ERA ar 2,000.00 
NrOderneHealtheCuusade Mey oe. PIP ey TRS eo eRe hae. 1,000.00 
IMERCOIANECOMNG OX DCN AO wr e1ae cui aia. Mughle TREO dec apie’ seg A Cie fe 3,000.00 





Totalemen es. we Ob, EPICA ir I 4s 3 DRE Me a MR $ 36,450.00 


50 ANNUAL Report, 1920 


The National Association advise that they will not send any regular 
press material to the local papers this year, and recommend that each 
state employ a Director of Publicity. We heartily concur in this 
recommendation and call attention to the fact that the Publicity 
Director would be used not only to secure publicity for the seal sale, 
but would be expected to issue a monthly or bi-monthly bulletin of 
an educational character. The Publicity Director would also be 
expected to assist in the preparation of special bulletins and be available 
for consultation service to local associations. It is recommended that 
the tuberculosis diagnostic clinic be continued and that in addition 
the Executive Committee be empowered to employ an additional clinic 
physician for the examination of school children during the school 
term and to be used at local clinics when the school term is over. 


It is desired to prepare a moving picture film of local interest in 
which we can bring before the people of North Carolina health 
educational matter in an interesting manner. We have received bids 
for preparing a film along the lines desired at a cost of 45¢ per foot. 
The expense of the photographer to be in addition. 

For some time we have felt the need that more research work 
looking to the care and: prevention of tuberculosis should be done. We 
realize that the Sanatorium presents an unequaled opportunity for 
making studies that should not be neglected. There is much research 
work in tuberculosis that can be done in no other place, and we are 
anxious that the North Carolina Tuberculosis Association shall be 
among the first of the associations to adopt a progressive policy 
along this line. 


That there is a need for such work is plainly evident when we 
make a survey of the tuberculosis situation in North Carolina. The 
population of the State, based on the 1920 census, is given at 2,556,486. 
Based on the most reliable estimates and from information on file 
there are known to be 25,000 of this number who are ill with tuber- 
culosis and in need of treatment. This does not take into considera- 
tion the large number of inactive, cured, and cases not sufficiently 
advanced to be generally diagnosed. From statistics received to date 
2,763 deaths were recorded. This number, we are glad to say, is a 
considerable reduction over previous years, the highest recorded num- 
ber of deaths having occurred in 1913, at which time 4,800 were 
reported as due to tuberculosis. It will be remembered, also, that this 
reduction was made during the time an increase in population of 
350,000 was made. If we can make these large gains in the fight 
against tuberculosis almost exclusively by educational methods, how 
much more we can hope to accomplish when the veil that shrouds the 
method to be used in the cure and prevention of tuberculosis is fully 


Nortu Carortina Tusprercutosis ASSOCIATION 51 


removed. Our part is to do what we can to bring the light of knowledge 
on some of these dark points, and to this end we respectfully recommend 
the appropriation of $2,000.00 for this purpose. 

The other appropriations recommended are for continuing work 
already under way of which the Directors are familiar. 

Your Executive Secretary believes the membership of the Board of 
Directors should be increased in order that fuller representation may 
be secured. The Directorate at this time is represented by the following 
cities: Charlotte, Hendersonville, Wilmington, Candor, Durham, Ashe- 
ville, Winston-Salem, Greenville, Oxford, Arden, and Gastonia. There 
should be a Director elected from Greensboro, one from Goldsboro, and 
one additional from Winston-Salem and such other towns as deemed 
advisable. It is further recommended that the local associations pay 
expenses of their Director to the State Association. © 


All of which is respectfully submitted. 


L. B. McBrayetr, 
EHxecutwe Secretary. 


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REPORT OF AUDIT 


RateieH, N. C., March 31st, 1921. 


North Carolina Tuberculosis Association, 
Sanatorium, N. C. 
GENTLEMEN :— 

In accordance with your instruction I have audited the books and 
accounts of Dr. L. B. McBrayer, Secretary, and respectfully submit 
the following report as a result of said audit. 

I find the books accurately and systematically kept and I had no 
difficulty in securing the information desired. 

I desire to extend congratulations on the great showing that you 
have made. 

Respectfully submitted, 
J. J. BEeRnarp, 
Certified Public Accountant. 


[53] 


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NORTH CAROLINA TUBERCULOSIS ASSOCIATION 


REPORT 1920 SEAL SALE 








MCU PL UGISEA Lay SOLC.c a isa a Kb, «ons steeletans tae ee ok hn aele w ls $ 35,338.38 
OR AIEV a UL Ca DOU CGASOLG facets. co ee cane Rataee es tad ee ee « 1,390.00 
ter ICo Oa DADE r SOI cc we cle te dearer eos eitie visas vie ect $ 36,728.38 
See VeRLOCA ee NL oiGil vc tic. se al ed ey eee ee wate eee ne DP oiookae t 
POM yaCOLOLC( SCIAITINGI os cae pe cals ahi stats ste tstete e sla'ais 5,253.13 
ROEM TELL LEGAL Ores) tee aera tate sok od ol a ase ves, Sie ate ee ees 4.137328 
eMC LSMRO LUM Ts er cnet ose ee oir bee eee e wee wed Phe wing eee 36,728.38 
REMC C ECT LTT TIVOTL Seis cas occ Ot one tn eis te etae y ahaiaiol © eos an wl goe Hie 18,665.57 
$ 18,062.81 
Reem OCA IE CUAITINGN Gos 07, Gloss sis Godden oor apebgews Seen $ 8,672.40 
ieee Di seCOlOLCU CHAITIN ON a. . iiys ok. ale athe, </aleog ele Lies 5,200.L3 
Pe CeLOCOMM ARLE SAG La. carer talc ta Gn olelete wr ee cate Grains & 4,137.28 18,062.81 
FP OCeMOCsmaH SOCUULLY ©  OLUCE sre a ie cee ct tte ee eR ats tera eg 18,062.81 
Expenses: 
Seal supplies, stationery, literature.............. $ 3,046.17 
Bee hE SNE OSPR ice a va: fou site a teive. Gi 6 Fie Se oa dota doe. © 1,916.09 
ey ge Cm DUCTS oe ns. aim aly oulsct saileneMin. b af 900.00 
PERO MIGREBEICDCIISO ora. ae oi cs oh ota ee tne oe 75.36 
® 5,937.62 
fo mu leemartional ASSOCIATION} 660325 (a3 Sek Pe eh oa rks: 1,836.42 Exp. 7,774.04 
Neier ore SIX CCULIVEG sOTICOs soo tries siete re ea cits, alee et) ttle $ 10,288.77 
ROCOINLS slot oes 6 tir o's ad $ 5,253.07 Receipts Ex. Office $1,613.22 Ex.$ 696.84 
e AS hes i es 6,745.22 i 3 3 2160.05. 7”? w1,285272 
fc SIS. 1 SE aa 8,033.86 _" 4 if A686. 01r? Wt aOer43s 
4 TOW GM Hace, 12,078.74 if <4 4,(86:90 7 %2.750.56 
¥ LOU Oe 17,541.02 sa Fi a Sj USG4 Beri BES Sess 
* LS OR cn teas tan 42,407.18 + 4 s 23,408.53 ” 8,528.18 
i OZ OM td ss et 36,728.38 fi ch ¢: ES0G6 281s soe 774 04 


FINANCIAL STATEMENT FOR THE FISCAL YEAR ENDING 
FEBRUARY 28, 1921 


RECEIPTS 


Balance on hand from 1920 as per report submitted at Annual 
Meeting of State Red Cross Seal Commission Feb. 28, 1920....$ 6,949.66 





CONIA She LOL eG TUSAdey SUD DIOS ur sta cirby wake Pec cty win cena le. te Medan ene ae 465.64 
PVeCOLDLGECOLOlCOACUAL EIN CD tek! tenia Lt eg ie Cals cle a. Wisse decease ee be2Do.Lo 
TUCOR DU Spa Cem CLEP IN Ol late. ote: aUNG Lee netlalce og hotel oy Vege el evacere. ar tek aoe ae 8,672.40 
OCG Dice ction MAA Cite caren Vacs Sete NR owe ean rata lank oh a 4,137.28 
MOCHA ULOLLS WyGMPNS cote et TR cle a: chalet pit oeachnede a akes SRT SM, toe, anc See 176.00 
Transterred. arom. savings to .checking account... 0). veaciec os cule 18,607.95 
NIDLGTO SU OTAGO Vern fae oe eh oos an er sue ado enabled eashagemten Mende. . sat re ks ee eee 837.32 

LOLA Pi DO BOUSMeiatace ni Otte ai tk Celene tele eng antene atten Pesan, es tal cae ee See $ 45,099.32 


\55] 


56 


Total receipts 


Campaign, “expenses? ... An vaiiodeuene © the bak tae Moree BRE $ 


ANNUAL Report, 1920 


Dairy \CQuipMents 6... seiete cee a ein so ee Sree ee 


Loan, Bldg. 


Occupational Dherapyee : see. se reeeaes « 


Clinic’::Phystelan th. 25 ewe ote ste coe we ls ee ee 
Scholarship Publics Healthy Nurse i340. .%... ae eee 
Negro. Public; Health Nursing i... ./. 5). ce. see eee 
Negro moving picture car... O10. ania se Senne 
Negrophealth work 30/05 shee ebb oc < oe se a ee Pa ete 
Expense directors’-meetinge. is... +2. a ee 


Movie films 


“ee eet eee eee eee ere ee eer estes ee ee eee eee eens 


Davin Zs. ACCOUNMED AK wares odes Mesa ae ae ene 
Modern healthccrusade se. & 1.2.4 26:05 css olekas Pee 
Miscellameous oie eso skis als aveie ce oon. ohol shelve ace tetas 


Balance March 1. 1921 


Checks, outstanding No. 631... ..% cass oes eee ee 
Checks outstanding No; 6330.25. 2.4.00 0 oe eee 


ey 


2? 


5,937.62 


273.35 


5,558.50 
2,964.18 


200.00 
225.00 


8,070.98 
3,104.92 


69.99 
282.37 


10,000.00 


989.65 


3,042.49 


Balance at the Merchants and Farmers Bank, Mar. 1, 1921.. 


Appropriation account of campaign expenses 


(a) 

1920 
Feb. 9 
Aug. 28 
Sept. 1 
Sept. 3 
Sept. 15 
Sept. 16 
Sept. 17 
Sept. 28 
Oct. ib 
Oct, 4 
Oct. rf 
Oct. 8 
OCho A 
Orci ar) 
Nowe ot 


ANALYSIS OF EXPENDITURES AND RECEIPTS 


National Asso., 14 cost seals and supplies $ 328.27 


Commercial Printing Co., index cards.... 
National Asso., % cost seals and supplies 
STANDS shel s 2 Gh eccetslela volando eee ae 
National Asso., 14 cost seals and supplies 
National Association: Cuts... .. wee] eee 
Commerciol Ptg. Co., subscription blanks 
L. Lindley, September salary............ 

12 BENG 0h: era ae ee ae SERN. hige bts Coa 
i. Thorpe, September salary 2. 2902 a 
Pilgrim Spec. Company, bangles.|........ 
Sree el. ker elk es rr 
A. W. Snow, September salary.......... 
Grady Ingle, September salary.......... 
Li. Bouldin; September salarye. scons 
L. Mayhew, September salary............ 
Ly Redd, September isalaryere.. Se ee. 
O. B. Revell, September salary.......... 
Storr, Heath & Moore, stationery and env. 
Hackney, Moale & Coi) stiiifers 3.25.20 ene 
Sibyl Brabble, September salary......... 


IS GETIY DSc tareneinde cath nee ant a fe eae ante 


[TAS Taylor; wrapping paper... ae 
N. Williams, school teacher’s list........ 
Atlas Educational Film Co., trailers.... 
Stampan Ws oe Sho loos Sy a eee 
AW snow, Octoberrsalary a 2. oe 
Grady Ingle, October salary............% 
lL; Bouldin? October salary 7+.05 9.4. oe ae 
LoMayhew.. October salary... see ere 
SwBrabpblerOctober salary ince kee 
EeReddsOctoberssalary 7. ces ee 
Mrs. Jo La spruill, Octoberssalary.... eee. 
SCE DAD Sige. calcs toro tece sree Chee meen ree 


107.81 
661.75 
25.00 
329.58 
3.07 
171.00 
28.00 
50.00 
100.00 
187.75 
200.00 
125.00 
70.00 
50.00 
45.00 
56.40 
25.00 
483.14 


148.90 © 


5.32 
225.00 
26.70 
1.50 
12.00 
50.00 
125.00 
70.00 
50.00 
50.00 
40.00 
32.62 
35.85 
50.00 


$ 45,099.32 


40,719.05 


4,380.27 
tetas: 


$ 4,452.02 


$ 3,000.00 


Unused balance 


(Cc) 


Nortu Carorina TusrercuxLosis ASSOCIATION 57 


OMe ne @. 0) 4 @: 6! (0 (a) :0) 0 0 68. @ (0B) 0?) Te, CRO '@) 61.0. 6 0 10 © ee 


Nov. 3 Hackney, Moale & Co., post cards...... $ 282.50 
Nov. 4 Wireleerl. Con. Octobersaecoun tin stan). 35.16 
Nov. 8 Op bBa.hemerls October salaryide: ai.leox ut 70.00 
Victor Animatograph Co., slides......... 112.10 
Nov. 15 SOREN ABW OAS} > Ss ts se ice at Gea grnTee sco ge 0 a aig 50.00 
Nov. 22 SUPLITI DS. Gus aye len in a din. ce 100.00 
National Association, electros........... 1.00 
Nov. 30 Mrs. J. L. Spruill, November salary...... 54.60 
Dec. 7 National Association, bangles............ 58.81 
PAT DS en eh ctr Sathes sie See Yor oiets catt x 50.00 
Dec. 13 Victor Animatograph Co., slides...:..... 15.29 
Dec. 28 SUNNY Och Seo ara eae Gm, | ALL Wee Be oe a ate 75.00 
1921 
Wana L A. W. Snow, December salary........... 125.00 
O. B. Revell, December salary............ 70.00 
M. L. Duncan, December salary.......... 107.60 
L. Bouldin, December salary............. 50.00 
L. Mayhew, December salary............ 50.00 
S. Brabble, December salary............. 40.00 
eran | National Asso., mats, plates and bangles 146.33 
Jan. 13 National Asso., mats and plates......... 8.27 
Mrs. J. L. Spruill, December salary....... 49.80 
Jan. 21 > UTES AA RR om Oe: PE, See. | 25.00 
Feb. 1 Mire J). beaopruill, January salaryac.. ot). 45.90 
Wea. SNOW, Januanyisalanye wenn. 10: 125.00 
mb nevell wanuary salaryer “ibie® 70.00 
Pe bouldin. «January Salary) + S7.ee sat 60.00 
iPeMayhews January salary. oir oene sine. 50.00 
Sy Dil brapple, Januaryisalary ors wl 40.00 
®  -5,937.62 
Pex Ce sSm ODT ODLITALION MUSCUs 5 okie cles © cies see dee eo c.s soc ete aerd's $ 2,937.62 
‘(b) 
PL OOLONTiaiOl ACCOUNL Dairy tHQUuIDMeNL. s.. co. cc os see cl cece ss $ 647.50 
1920 
‘Mar. 18 Pl aGRNC VAR COS me WACOM. cadet esc. tele ack ss $ 213.00 
Balan COmADDEODEIAGLOIrM .tascie cocoon sis ielece su 374.15 


647.50 $ 647.50 


Appropriation account loan to N. C. Sanatorium for Occupa- 


tional Therapy building 


1920 
Mar. 18 
April 10 
May 5 
June 5 
June 17 


LE TATTS COCHRANE COtte ttre Se aden circa suai eee Gu wtitra ect ay eh tion hate 


Harry F. Hann & Company.............. 
Harry F.. Hann & Company.............. 
Harry F. Hann & Company.............. 
Harry F. Hann & Company...........-.. 
Harry F. Hann & Company.............. 
Balance VapDPropligtlOnewe wae). mirao te eneiy oes 


eoeceererere eee ee ee eee ee eee eee @ 


EPR Dotan $ 67,000.00 


1,530.00 
1,530.00 
1,402.50 
545.00 
551.00 
1,441.50 


7,000.00 7,000.00 


1,441.50 


58 ANNUAL Report, 1920 


(d) 
Appropriation Account Clinic Physician: 
Salary, $3,500; traveling expenses, $1,500; total.......... 
1920 
May 1 dcLe Spruill vealary. Aprils one. eee eee $ 112.50 
May 18 Ji. EB. Crayton, Physician’s bare. wij. 17.50 
May 20 J. opruill-expensé, April? 2 ee ee 43.80 
May 20 J: L: Spruill,.expense May7:...; +3. ee 50.00 
J. L. Spruill,: part, salary > May ses. 80.00 
June 1 J. L. Spruill, part salary and exp. May.. 80.97 
a ULV Board «for ‘family G19 2. ~ sie. See eee 80.00 
Jnl. Spruill, salary J une.2 0.5 oe eee 150.00 
July Jka Spruill expense) une... eee eee 96.35 
Aug. 2 J: la Spruill, salary Julyc.o 5) oe eee 110.00 
Commercial Printing Co., posters........ 5:10 
Board family July sc 023202! te eee 100.00 
Aug. 6 J. G. Spruill, expensetJuly o..s7seee 80.17 
Sept. 1 J. L. Spruill, salary and exp. August. . 230.38 
Board family August and September..... 226.66 
Oct. 1 Ji L. Spruill, salary Septembers. ee. 83.34 
J. L. Spruill, expense September......... 70.20 
J. L. Spruill, expense Jacksonville meet. 69.25 
Nov. 1 Jails Spruill: “salary: October... aa enon tin 150.00 
Board: family October. ..:)..0... cee eee ees 80.00 
Nov. 30. J. L. Spruill, expense December......... 64.24 
Board family November.......... beat Tohow | 80.00 
Dec. 2 . J. L. Spruill, expense November......... Mi 130.07 
Dec. 20 J. L. Spruill, salary and part exp. Nov... 158.01 
J. L. Spruill, expense December.......... 25.00 
1921 * 
Jan. 1 JiiL. Spruill, salary December ?)..% i).5% 150.00 
Boardstamily. December..2...c.sen i eee 80.00 
Feb. 1 JoLaespruill. salary January sea ee 150.00 
Boardstamily: Januany oe ce eee eee 80.00 
Rebe« 7 J:.L.-Spruill; expenses’ January... anne 71.89 
Feb. 22 J. L. Spruill, expenses February......... 5871p 
Balance ‘appropriation’ ...02...42 4 2,035.82 
$ 5,000.00 
Unused * balance iis... ARS eee ae eee $ 62,035.82 
(e) 
Appropriation Account scholarship for public health nursing... 
1920 
Mar. 27 Miss.Alice:Bs Casey.a... .tvetcaee ss 0 eee $ 100.00 
May 20 Miss .Alice vB.) Gasey 2. 2h Balt oe oe ee 100.00 
Balance appropriation wey. maces eee eee 800.00 
$ 1,000.00 
Unused :balante: xs...) shin eee eer en aes. $ 800.00 | 
(f) 
Appropriation to be used as revolving fund in payment of board 
and treatment for discharged tuberculous soldiers.......... 
Notvused. Balance, appropriationi a.) 7... eee eee .-$ 2,500.00 
$ 2,500.00 


Unused appropriations fara) en, ee ice oe $ 2,500.00 


$ 5,000.00 


5,000.00 


1,000.00 


1,000.00 


2,500.00 


2,500.00 


NortH Carortina Tusprercunosis ASSOCIATION 59 


(g) 
Appropriation account, public health nursing, colored.......... $ 61,000.00 
1920 
Mar. 27 Misseblanchne Hayes, Tarborde... 6.55. <2 $ 75.00 
April 12 Miss Blanche Hayes, Tarboro............ 75.00 
May" ut Miss Blanche Hayes, 'Tarboro........... 75.00 
Balance appropriations «\. seen ciel wisn aay 775.00 
$ 61,000.00 1,000.00 
PMCID ARDY CO paar ete otc datan) Sack: « « staPaahteber at eta. a fale be \oe $ 6775.00 
(h) 
Appropriation for additional X-Ray equipment at Sanatorium... $ 650.00 
NGUPUSCU A balance ADPTOPLIAllON....s.<...0 0.00 Ris eke oles ke $ 6650.00 
$ §©6©650.00 650.00 
NTA ITEC CLA POLO DIIATIONIL a Aliyah sess veecnchsoulte a Mbhcuile MORIN ¢ $ 650.00 
(i) 
Appropriation to assist towns in establishing Public Health 
ete UMN eto t. ods cimbpetadais «Vd abate bldleentee andia a bet oes $ 1,000.00 
Not used. Balance appropriation...........0..ceceee. $ 1,000.00 
$ 1,000.00 1,000.00 
SEU SCCM DT ODTIALION ©. io). so. cles. «sa. s) cosmpel wipe Saeco $ 1,000.00 
(j) 
Appropriation account moving picture car for negroes............ $ 5,000.00 
1920 
Mar. 20 mV tivde, Work On Cari: Mekal $ 8.45 
April 2 Commercial Printing Co., posters........ 33.50: 
April 10 EK. T. Ranson, salary and exp. March..... 145.25 
May 17 Heel. Ranson, salary and, exp. April sc. .<). 202.03 
June 19 EK. T. Ranson, salary and exp. May....... 222.21 
June 23 Atlas Educational Film Co., trailers..... 23.53 
June 25 Jeeobryan Grimes, license jn ahies..6 pokes 12.50: 
July 9 E’. T. Ranson, salary and exp. June....... 319.16 
July 12 State Board of Education, equipment..... 2,301.15 
Aug. 28 HAT. Ranson, salary and, expe July: s.;.s0% 346.67 
Sept. 16 EE. T: Ranson, salary and exp. August.... 220.77 
SCD ite Liem yee be COLOS DY .. LAIN DY eel o.00t oxtce Mudteteertce el mass 13.00 
Sept. 22 O. B. Revell, exp. Edgecombe County..... 52.80 
INOVEI LO EK. T: Ranson, salary and exp. September. 220.16 
Nov. 20 E. T. Ranson, salary and exp. October.... 387.77 
Nov. 30 E. T. Ranson, salary and exp. November. 217.08 
1921 
Away 7 E. T. Ranson, salary and exp. December. . 325.66 
irs a Ry a Bs WW SOnOw Cex. tO Reale ein: cat nn etc 13.16 
Soper’& Kaylor, repair Dodge... s.2 81.90 
Soper & Kaylor, Dodge frame............ 100.00 
PAIL LO Bureau Community Service, equipment... 2,284.00 
Sal 20 State Board of Education, tires...... rates 97.02 
Heb. ¥ 59 State Bd. Education, rep. movie machine. 1.05 
Feb. 17 E. T. Ranson, salary and exp. January... 188.30 
Feb. 21 Soper & Kaylor, repair Dodge............ 230.56 
State Board of Education, lamp.......... 13.00 8,070.98 


HWXCesslapDLOD Ma MON sUSeC.ue ws sare reid cee othe sue Seema $ 3,070.98 


60 AnnuaL Report, 1920 


(k) 
Appropriation for negro thealth work... v.): -,2)2- sbfeias: » @ ereynee eee $ 2,000.00 
1920 
Mar. 5 Maggie Hester, salary, +:;,.¢.. cs. apne uate $ 18.00 
Carrie. Battle, salary.aititwnt- oe ee 10.00 
Sov: Martin, salary A; ce ¢e .eeemee aor 10.00 
Laura’). As: King; salary :..« ..veeeanwenpee ces 10.00 
April 14 MsGrraulknery salary... 1. 2c 10.00 
May 20 BPMs Vincent Salary v2.2.5 +. 60.00 
Side Wilson? salary ..0.. 5 > > eee 60.00 
HK, Jie SONOS, SSAlALY wiv< ss succes 60.00 
Rachel. Luten-Salaryiiiuno- eee 60.00 
PearltAlston; salary ii¢ tiie." eee ae ee $0.00 
Le B.. Felton, salary <i: .« 0%. oftnie were 75.00 
HAN -Johnson.wsalary ¢....1. eee eee 70.00 
Annie i. ‘Chesnutt, salary .<7-eee eee 65.00 
Mary Sutton;-salary..¢ veces eee 70.00 
JP. Murfree, salary...c..4s0 eee Eee 60.00 
Mattie. N. Daye. Ssalaryees. eee 70.00 
CO: Wi MGNetlL SAIATY. «chasse eee ene 75.00 
M. GC) Faulkner, salary 202... eee 90.00 
Maude M:-Mitchell; salaryst 7.2 eee 60.00 
Carrie, Battle; salary . 2%... eee 70.00 
Dollye, B. Patterson, salary. -ae.0 eee 70.00 
S. JoMartin, salary yn so. oe eee 70.00 
KH. Hinlay wood, salanryxuc vse oo eee 60.00 
Magee: Hester, salary... ck’. cee eee 60.00 
M. Ay OHalliday, salaryigey. i. 2 eee 60.00 
Laura. JA. KINe Salary... co ep een 85.00 
Mi Jen patlerwhite; Salary .c0 4 cee 70.00 
BY OF Butler, salary... .« os ol seer een 80.00 
S. W. Randolph; salary.) 00. SG \aeee eee 65.00 
Sarah J. McRae, salary 2. «0. aie © ae eee 60.00 
Pearl -B:) Hoover) salary 42.2 sae gee 70.00 
S. La Smith. salary stot. ee ee 70.00 
Sok: Wimberley, salary. 7.0. 2 feces cee 70.00 
SoA. Wilson, Salary.) 2). 2.200% §. eee 60.00 
Sadie, P.. Harris, salary 92223... 60.00 
H.iM. Thompson,;*salary. 20. hee eee 70.00 
Jennie ‘Tos Hill) psalary 2. ee A A AS 70.00 
Rad. Hargrave; salary ie See eee 80.00 
Jol, Kornegaywsalary At 2s. eee eee 75.00 
Willa, H.. Berry; Salary...) acts.) eee 80.00 
LeBsa Yancey, salary: 4) Co et ee ee 100.00 
Mary Garnersisalary 229 44. ee eee 90.00 
June 1 Laura. Ay King salaty-o. Seis. 0 eee eee 5.00 
Sadie P>-Harris\vsalary. 2.40 .2 eee eee 10.00 
MioM Mitchell salary, .2: 0. .i cen eee 85.00 
Sela MIC eseila hy Ces cee ale ae ee 5.00 
SraW. Randolph, Salaryccucs cae d cece ene 15.00 
Gah. Whitheld? salary... cf oh ose eee 90.00 
June 25 maran. McRae. Salary ii puencasn Rie ace sist 10.00 
June 28 Mi Os lavion= salary 2 ate ou ee eee 75.00 
oul yaw 9 Marie-Mclver. salary te5 4. Bee ee 60.00 
JUL V oes, IMO. Taylor isa larVesuc, Se. .8 anna: cannes 19.92 
July 28 Magzie Hester. Salatcvuen cmos see eee 10.00 : 
Nov. 8 Hampton Normal Inst. Reprint........ is 62.00 $.- 3,104.92 


Hxcess. “appropriation / used. .a.0 st ans ee eee $ 1,104.92 











May 1 American Ry. Exp. Co., April account.... 2.36 


Nortu Carorina Tupercunosts ASSOCIATION 61 
(1) 
Appropriation Account Expense Directors’ meeting............ $ 1,000.00 
1920 
Mar. 18 Mipcom CHAR oetUM VV LILAKCI ce trinn 6 te sles & $ 69.99 
DalaucesApDropriaviOn... <1 overt: ce es 930.01 
$ 1,000.00 1,000.00 
et ted FATT COS cee elly voice aie te ove cagel ad 3.543 ACR Repeat wha label ihe $ 930.01 
(m) 
Appropriation for purchase of moving picture films............. > 1,250:00 
1920 
April 8 National Tuberculosis Asso. Jinks....... $ 100.00 
ulye 1 National Tuberculosis Asso. Jinks....... 103.64 
Dec. 7 National Tuberculosis Asso. Crusade..... Tous 
BalancecapPropriatiOu cnc hes eek caehe hee. 967.63 
$°*15250,00 1,250.00 
Brusca spalance . se. ee. es Pee Peter nt Lp hg $ 967.63 
(n) ; 
Appropriation Account Modern Health Crusade................ $ 1,000.00 
1920 
April 8 National Association supplies............ $ 95.11 
May 1 National Association supplies............ 20.00 
Aug. 2 National Association supplies........... 68.35 
Oct. 25 National Association supplies............ 236.79 
‘Nov. 4 Nee. SANalOrTium, , Stamps iis . Aen fayes 40.00 
Deca*!7 National Association supplies............ 366.02 
1921 
Feb. 9 National Association supplies............ 163.38 
BEAU CC LA DD LODTIALLOINs (tens sue ates yaidier ene cashes mL0voD 
$ 1,000.00 1,000.00 
RIES CCM LLL CG Lure eh eaai cre Stas Gd wath aia uae elas jh eae tia ie $ 10.35 
(0) | 
Appropriation Account Salary Executive Secretary.............. $ 1,200.00 
1920 
April 17 Lee \cBrayer; salaryucvnieurie wie et $ 600.00 
1921 
Feb. 16 LS VEC Tavera lary. iy itis aera eeds ee 4 §00.00 
$ 61,200.00 1,200.00 
(p) 
Appropriation Account Miscellaneous Expense................. $ 700.00 
1920 
ADT Sue Vy Le le COMpDaAny,. March accounte... «+. 4.37 
Mar? 1 Roger Fibre Company, lantern cases..... 96.00 
April. 2 American Ry. Exp. Co., March account... 3.62 
April 8 W. U. T. Company, March account....... 4.37 
April 18 National Association Publicity Service... 67.80 


62 


1920 
May 
May 
May 


June 
June 
June 
June 
July 
July 
July 
July 
July 
Aug. 
Aug. 
Aug. 
Sept. 
Sept. 
Sept. 


Sept. 


Sept. 


Sept. 
Sept. 
Sept. 
Sept. 
Sept. 
Sept. 
Sept. 
Sept. 
Oct. 
Nov. 
Nov. 
Dec. 
1921 
Dec. 
Jan. 
Jan. 


Jan. 
Jan. 
Feb. 
Feb. 
Feb. 
Nov. 


11 


14 


20 
29 
28 


16 
22 
27 


30 


O1TWw © 


ANNUAL Report, 1920 


National Association? (aie te eeeen en $ 7.00 
R2B. WilsonsexpeSt wo0uls, ho eioceens ats 192.76 
UnionsCarbide-Go;; carbides <. vege aks eis a 4.55 
Roger Fibre Co., lantern cases........... 96.00 
Victor Animatograph Co., slides......... 18.39 
National’ Association,.cuts....; acne Tint 
Victor Animatograph Co., lanterns...... 349.75 
- Cowry Hydes repair to lantern. ..4ke% ee 3.75 
Commercial Printing Co., bulletins....... 245.00 
ASG Bulla; DN OU sid. dic iss ee ese eee 3.00 
SCSI DS a. i evta\s caeus vacatqn cae meca sh) otis eres cane eee eee 20.00 
Stearns Engraving. C0.. eDg.) GUtaee ae 11.00 
RivE:Luben, express, slides ©... sae 1.52 
Weil T. Co. July account. v5. Nea Ry iy: 
Victor Animatograph Co., slides......... 9.19 
A. W. Snow, exp. Atlanta Conference..... 53.59 
J. Bryan Grimes, incorporation papers... 4.80 
W. L. Poole, recording incorp. papers.... 3.00 
Greensboro Daily News, ad.............. 6.84 
Wilmington (Star, oad | siciascin lars eeeeeeee ee sy, 
Asheville Citizen, ad... ¢. <<. «1 c0cRee ces 3.00 
The-Observer. Company, 20.1... -.ccserantene 3.40 
The, State, Company, ads . 22 keel. een 3.90 
News‘ and. Observer;.ad.:. 2. os. asian 4.68 
Pound & Moore, office supplies.......... 5.10 
Walt Te Co; August account. fame 2.17 
F. C. Edwards, consult. re. pub. director.. 25.00 
FioM: Caldwells bon d...:202.4i Uae See ee 5.00 
Ruth Alexander, telephone call.......... .90 
National Association, membership....... 5.00 
American Ry. Exp., August account...... 9.94 
Ellington Studio, photographs.......... 25.00 
Mrs. M. M. Finger, ex. Jacksonville meet. 67.00 
W. U. T. Co., September account........ 12.48 
R. B. Wilson, membership National Asso. 5.00 
American Ry. Exp. Co., October account.. Lig 
W. Uv Te Co..October account... eee .90 
Wai. TS Con November accounts... 25.55 
Victor Animatograph Co., slides......... 2.88: 
American Ry. Exp. Co., December account 5.16 
Hackney & Moale Co., printing........... 19.30 
W. U.c TV. Cos December account i.5...00 ee 6.44 
Chicago = Insts-posts cards: a). psn 58.50 
Vivian Jackson, Conference............,. 10.75 
RB; Wilson, Chicago meeting ieee 221.65 
SCAM DS eis Satan ental haute neyicmaba begets are aan 20.00 
WeUuUr Te Coy January, accountec awe 2.28 
Mrs. C. R. Whitaker, Jacksonville meeting 61.25 





Excess “appropriation used... 0... 2. one eee 


$ 1,842.49 


$ 61,142,49 


Nortu Carortina TuBERCULOSIS ASSOCIATION 63 


ASSETS AND LIABILITIES 


necking. ACcoOunt Onsdeposit, M., & Pw Bank. ...0. Wi. Jo. ee bes bee $ 4,380.27 
Pave eo ccoulntwercuantssand Marmersebank. 03. aye ee ek wes 10,000.00 
Due from North Carolina Sanatorium, loan made for Occupa- 
POT a Ver UVM ESTELLE iil cis'un ore a cee aero tosis ¢ oe wile! Stuiw Mie are ee 5,558.50 
Due from North Carolina Sanatorium, loan made to pay Board 
Pe Preauinehte Of DISCHaT fed | SOLOIEF Sage 64s en's os ahold oe pine els 3,187.00 
Premero melon semade . bh. alde: NUTSCciks ule eins sa sls, «dk ese a 5508 oles ae 300.00 
ome CTSA MSU DDHOS 6 uate 6c Rise ¢ Sthad creeel al ke. W ais Si cca eloveue » ae.eve 259.48 
meuoweranie 0Ccal) Chairmen y.).6 soe. Pes Leek Ras wee A pea ah Sete, Ob Ml. 535.96 
RRL SRE CARIN CRUMP Le raate wi erat yi¢ gitta lacie ake: Maoh eile 4 fo Soc neue WNL « Moose es $ 24,221.21 
5% due National Association on 1920 Seal Sale................. 1,836.42 


ToL) PENSYEES OS? AL Gp AON SNe lore oy Se Ohad Sey FA pha ae RRO A vg $ 22,384.79 







« ve ee ( q “4 Z om. 
i a} oe PRY be a ee 


; hi Ape rerceat rie t eRe 
ta; bi lf ae eS lt FE CS 


pit Mite ag Oe } elt 


EIGHTH ANNUAL REPORT 


OF THE 


North Carolina Sanatorium for the 
Treatment of Tuberculosis 


UNDER CONTROL OF STATE BOARD OF HEALTH 


SANATORIUM, N.C. 


1921 





: RALEIGH, N.C. 
EpwARDS & BROUGHTON PRINTING COMPANY 
STATE PRINTERS 
1923 





TABLE OF CONTENTS 


‘Personnel: PAGE 

Pie Nehemmora Lem DOA OLE L1Gd Ivan, ghee bss ool iahee S18 oh deg ss hs es eure ae 5 

Pa cper ee SMAI CTT LILLOLLL Bist eetc 8's chats ae allege acevo ederave's vile tet aitey as lntee, ao laeveite 5 

Re esteem tL Mee es el Mater onl ust tc thes. ols a Wie the ven eas # eptceta tins) stohg ce skewer thes 6 

Directors: North Carolina Tuberculosis Association................ 6 
ee eC eM ATOR TULA Leer s eee ths way 6 oa a Wa 6 wlaate WWelady WM aTa ise awe din Alaa aw eh meee ii 
Rr eetA MLN COMET Sy ay ele & a ore aicle ten stalos sree Sie eis ik cogue sg) ok neo oa ae Yy 
So ouaie i VaO MCAT EOMVY OT Kits Gis heje os yeas leis pa cield olde ete wate © a:a03 e em ye\a te liaes tala 16 
Bie Te NE CATES Cale 25 INE S. G LS c-4 a, Bl salar ale ae DR Ws ee Shee le hole A aye ate Ee whee all Hees 
Occupational Therapy PPR stews «aceite tn w/a sehapess Sanaa abel eas Bis) ete ote « 5,8 REN 5 29 
“Literature of the Bureau of Tuberculosis..............ceceececeecevcees 30 
Pieters AM UCM TIV ON Vale, his oYomeer ste st Sle Ga Aisle Gite a 'scllala we glale A Glens wise sie e ace 4s 31 
Punnweneporto1 WN. C. Tuberculosis: Association... 6.6 n. sc eels e es 41 
Feet ott) a MmmOIMPEA AEU LUMENS yt oo ches Shera) v5, aces op Wy ers. fel Se ened ah ate Malet e: eta let hago s\ uate Leia alone 47 


[3] 





NORTH CAROLINA SANATORIUM 
FOR THE TREATMENT OF TUBERCULOSIS 
Under Control of the State Board of Health 








PERSONNEL 

MEMBERS STATE BOARD OF HEALTH 
DEW) HOWELL WAY, President...i200. gest). pene aun Seer ae Waynesville 
Perm OL GIN rd sh tha Willa che thet Ee Ghsiy erates Bees wieisinies a nes Raleigh 
Perens INV ATMEL Lis sie ace 2 siaig ie «sisi die! oie tre Mae's. 45 oie. afeicie is n's, 9 avs Asheville 
De eM ROW IAT ED ak Pate Paka l Remi Le ha ake oe a Ue Charlotte 
DORCAS Hem AINDEROON'S tserte o's ¢.0.6 hc msajsncs.aie s sledbl 664 alee sie bases Statesville 
Mer ewss2O Th. LAUGHINGHOUSE...«.. + s's sa.saaube's OR nies tee bag Greenville 
ee eC a LL) yn: PAI a ae ane ates ee ie ce aN FRR tei ae Roxboro 
“Cie IRS VE ah yas is SIS i ee aM Atri Ai deci Henderson 
ey BU PELOMPESON: tie ks tt es oe alse ea Oe one RRMA Oe, o. Jacksonville 


Dr. W. S. RANKIN, Secretary State Board of Health and 
State Health Officer, Raleigh, N. C. 


UPGRMALCTIC CIRCE Petites Ss PEGS os. oie ea ees oe acs L. B. McBrayer, M.D., F.A.C.P. 
IGS IAtaAlt OU perinleNOeNnt sees. ead ee we P,P. McCain, A:B.,. M.D. 
Pimiciansanemwirector Uaboratory «..../.<..4 56 R. McBrayer, A.B., M.D. 
PRI EMBER VSECIAN cates a. dic ive c's cree 40° Gores S. M. Brrrinerr, M.D. 

Private Secretary to Superintendent.......... A. W. SNow 

UCM UME SO SMES eo" re lard. cpa: a foie Geel Gs alenacod a sve! ve Miss ELIZABETH CONNOLLY 
PPOaOMNUIT SO, PA SSIGLAIIL. .oe wee aids ls Sie vlale swe MISs GRACE APPLE 

COE SSID SS ae I aM Pigiee ae ee ee eS er J. M. CLARK 


EXTENSION DEPARTMENT OF THE NORTH CAROLINA SANATORIUM 
FOR THE TREATMENT OF TUBERCULOSIS 
DIVISION OF TUBERCULOSIS, STATE BoARD OF HEALTH 





Bele Ol ya LV ISON. coe eae Ce rs ee stapes tee esate) oa L. B. McBrayer,, M.D.,.F:A.C.P. 
Assistant) CHichyor eOUGGaWarwvrrs sas eidie o!ece io. ae P, Pi MeCar,, As:ByuM.D. 
OTTCOTSOCLrelLARY saeco RA) eR Olas Sale dee olted A, W. SNow 
Seno srapnor: sO Iel ep ee envetsienhe «aves o babe uiaiete Mrs. H. O. SINK 
POTIOS Te DIVO core ee otetitedec ena lohee & wakeus use elas Wes Miss GRADY INGLE 
SLOMOSTUDILOL sctey ho ca screen bes tie Ba Werfa’s Gan RIS, Miss Mary SNEAD 
SCCTLOST a LCT e- totedeca oie ru auade Suva cit hub ae tele: earch ae Miss SIBYL BRABBLE 
Stenographer and X-ray Technician......... Mrs. J. Li. SPRUILL 
CULT reua eine er AMER AUT a tiay SIO We! check arasane ROM’, Blue sie HO3- Sin ® 
COLO LNG We ss shame te re erae Me coll grata: whole MehROAS a Adaieg Bike LEAMON REDD 
Director Health Education Among the 

INGOT OCS 5). esters errors boc siete s lahaieval d's alete ecalete Mrs. F. C. WILLIAMS 


[5] 


SUL Geny. > b Poe as 


Eye, ear, nose 


ang throaty... oe 


Genito-urinary 


Pathology 


Pharmacology.... 


eoeeee 


CONSULTING STAFF 


Dr. GEO. W. PRESSLY 
ah Dr. J. F. HIGISMITH. 


Dr. M. LER. Smoort.. 


) Dr. A. J. CROWELL... 


Dr. JAS. 


Dr. WM. S. JORDAN... 


Dr. J. D. HIGHSMITH. 


Tue Nortu CaroLtina SANATORIUM 


oe ee weoee ees ee 


eee eereerne eee 


Dr: Jas. MOCEnIEoyeer es ce ee 


eee eer eee eee ee 


coerce eee ee er ee 


eoeeceer eer ee eee 


Dr. WM. DEB, MAGNipeR? >. 2002). 3 


Charlotte 
Fayetteville 


Fayetteville 
Fayetteville 
Fayetteville 
Charlotte 

Fayetteville 


Chapel Hill 
Chapel Hill 


NORTH CAROLINA TUBERCULOSIS ASSOCIATION, INC. 


DIRECTORS 


Mrs. Gorpon FINGER, President 


Charlotte, N. C, 


Hendersonville, N. C. 


Sanatorium, N. C. 


Mrs. CHARLES R. WHITAKER, Vice-President 


Dr. L. B. MCBRAYER, Managing Director 


Dr. OTHO ROSS 
Charlotte, N; Gs 


Mrs. CUTHBERT MARTIN 
Wilmington, N. C. 


Mrs. W. N. Hutt 


Southern Pines, N, C. 


Mrs. T. D. JONES 
* Durham, N. 6. 
Dr. C. L. MINOR 
Asheville, N. C. 
Mr. R. B. WILSON 
Raleigh, N. C. 
Dr. R. L. CARLTON 
Winston-Salem, N. C. 
Dr. J. DONNOLLY 
Charlotte, N. C. 
Mrs. C. C. Hook 
Charlotte, N. C. 
Dr. W. L. DUNN 
Asheville, N. C. 


Colt. J,ti LUDLOW 
Winston-Salem, N. C. 

Mrs. MARK QUINNERLY 
Greenville, N. C. 

Mrs. S. H. Brown 
Oxford? Nac 

Mrs. J. L. WETMORE 
Arden, N. C. 

Mr. HAMILTON C. JONES 
Charlotte, N. C. 

Mrs. R. C. WARREN 
Gastonia, N. C. 

Mrs. Howarp RoNDTHALER 
Winston-Salem, N. C. 

Mrs, C, J. TINSLEY 
Greensboro, N. C. 

Mrs. Max T. PAYNE 
Greensboro, N. C. 

Mrs. M. E. Rospinson 
Goldsboro, N. C. 


A. W. Snow, Assistant Director 
J. L. SpRuILL, M.D., Clinic Physician 
Dr. E. T. Ransom, Moving Picture Exhibitor and Health Lecturer 


LETTER OF TRANSMITTAL 


Dr. W. S. Ranxtn, Secretary 
State Board of Health, 
Raleigh, N. C. 


My Dear Doctor: 

I hereby transmit to you, and through you to the State Board of 
Health and the Governor and the General Assembly, a report, being 
the eighth annual report of the North Carolina Sanatorium for the 


Treatment of Tuberculosis for the year 1921. 


Very respectfully yours, 


LL. B. McBrayrr, 
Superintendent. 


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EIGHTH ANNUAL REPORT 
OF 


THE NORTH CAROLINA SANATORIUM FOR THE 
TREATMENT OF TUBERCULOSIS 


UNDER CONTROL OF 
THE STATE BOARD OF HEALTH 
SANATORIUM, N. C. 


We feel more encouraged with the work at this time than at any 
time in the history of the eight years of our connection with the 
Sanatorium. 


NEW BUILDING 


The building known as the main building and infirmary has been 
completed and we moved into it during October. This not only gives 
us additional room for patients, but also gives us the proper offices 
in which to do our medical work. The building is the equal of any 
sanatorium building anywhere and is better than most. It has every 
convenience that will make the patients’ stay here more pleasant and 
beneficial as it relates to the patients’ quarters, and that will enable 
the medical and nursing staffs to give the patients the proper attention. 


LABORATORY 


For the first time since the Sanatorium has been opened we have 
sufficient facilities for bacteriologic, serologic, pathologic and chemical 
laboratories. This has been greatly enlarged and improved under the 
direction of Dr. R. McBrayer, both in the scope of the work and in 
the efficiency of the work, since we have gotten into the new building. 
The laboratory work at this time is the equal of that done in any sana- 
torium—barring only a few that could be counted on the fingers of one 
hand—to the great benefit of the patients. 


X-RAY LABORATORY 


The laboratory floor of the new building also gives us sufficient 
space for the X-ray,laboratory, and when we moved in our equipment 
was brought up to date by the expenditure of some $1,800, and our 
thanks are due the North Carolina Tuberculosis Association for this, 


[9] 


10 AnnvaL Report, 1921 


as well as the original installation of the X-ray laboratory. The X-ray 
has become more and more useful in the diagnosis and treatment of 
tuberculosis, particularly over the period of the last four years, due 
to constant study of this subject by physicians, and we are making con- 
tinual use of the X-ray both in the diagnosis and treatment of patients. 


MEDICAL SERVICE 


Our medical service has been improved, the additional facilities for 
work being a greater incentive as well as opportunity to find out, first, 
whether or not the patient has tuberculosis, and, second, to find out 
about any and every other disease that is affecting and interfering 
with his getting well of tuberculosis. The staff has accepted the 
opportunities and worked energetically and enthusiastically for long 
hours every day, much to the benefit of the patients who come here. 
A ease in point: 

A young man was sent here for treatment by a physician who had made 
a diagnosis of tuberculosis. The patient was emaciated, with a sallow 
complexion, and at first glance looked a typical case of tuberculosis. On 
examination it was found that he didn’t have tuberculosis at all. We felt 
it our duty to find out what he did have. The bowel contents were 
examined in the laboratory, as is done in all cases who come here, and 
a negative report made. An examination of the blood was done in the 
laboratory and this examination indicated an intestinal parasite. The intes- 
tinal contents were examined repeatedly with a negative report. A sample 
was sent to the State Laboratory of Hygiene and a negative report returned. 
Many other examinations were conducted—all negative. The blood picture 
continued the same. After the administration of certain medicines an- 
examination of the intestinal contents revealed the fact that the patient 
had hookworm, which was properly treated and he has been restored as a 
useful citizen, when otherwise he would have been a total economic loss 
and total expense to the State and the community in which he lived, until 
the day of his death. 


CO-OPERATION OF THE PATIENTS 


Jt is very obvious that the patients enter more into the spirit of 
the work—the end to which everything drives being getting the patients 
well—than ever before in the history of the institution. This is greatly 
to be desired and enables us to do much more for them than formerly. 


FOOD 


With the decline in prices of foodstuffs we have been able to serve 
a greater variety of food, prepared in a greater variety of ways than 
heretofore, and we are having a great deal less complaint in regard 
to the food than we have had in the past. In fact, it is very seldom 
that we have a complaint. 


DAIRY 
The dairy continues to furnish us an ample supply of as good milk 
as is produced in the State or in the South. Great care is taken in its 
production and in the handling of it. It is served to the patients in 


Tue Nortu CaroLtiIna SANATORIUM iil 


individual half-pint bottles. We are endeavoring to build up the 
dairy to a point where it will continue to furnish all the milk needed 
as our capacity 1s increased, and we hope when the division for negroes 
is opened we will be able to furnish sufficient milk to supply that also. 
During the last year we have put up an additional silo which will 
probably take care of our needs in this line for several years to come. 
We did not have sufficient funds left to build the cow barn unit, so 
instead we put up ten maternity pens and six calf pens. These have 
concrete floors, but the remainder is of very cheap construction, con- 
sisting of rough wood with shed roof covered with rubberoid roofing. 
We will need an additional dairy barn unit next year. We have 
several very fine Jerseys producing 10,000 pounds of milk and above 
per year and one of these cows averaged 61/4,% butter fat last year 
for the entire year and has this official record with the American Jersey 
Cattle Club. We have five or six heifer calves out of these cows at 
this time and hope in the course of a few years to have a herd of this 
kind of cattle without any additional expense. 


HOGS 


Three years ago we purchased three Berkshire hogs at the Southern 
Berkshire Congress at Pinehurst. From these, without additional 
expense, we have developed a very fine herd of Berkshire hogs. A 
year ago we leased our boar to Mr. Leonard Tufts in exchange for 
one from him. Mr. Tufts exhibited this boar at the State Fair and 
he took the Grand Champion Prize. We supply the table with all 
the pork that is needed. 


FARM 


The farm has been greatly improved in the last two years. Some 
additional land has been put in cultivation. We have been able to 
supply the table with a large amount of fresh vegetables, supply the 
dairy with all the ensilage needed and make sufficient feed to take care 
of the mules. The farm has also done some construction work, par- 
ticularly the laying of a water line from the present Sanatorium to the 
site for the negro division—the first half of the line at a cost 50% 
less than the lowest bid and the last half at 75% lower than the lowest 
bid. 


GROUNDS AND PARKS 


We never had an appropriation for roads, walkways, grounds and 
parks. This is very greatly needed. All the roads and walkways that 
we have were built by the farm force. During the last year the 
farm force did considerable work on the grounds and we were able to 
get several acres around the buildings cultivated sufficiently to put 
inrye. We need very badly a liberal appropriation for the improvement 


12 AnnvuaL Report, 1921 


of the grounds, parks and roadways. The location of the Sanatorium 
is very beautiful indeed, both in the immediate and remote outlook. 
The grounds and parks around the buildings, consisting of some forty 
to seventy-five acres, lend themselves wonderfully well to beautifying, 
and it isn’t fair to the patients for them to remain in their present 
unkempt state. A liberal appropriation is respectfully requested. 


SUNDAY SCHOOL SERVICES 


These services continue to.be a source of much pleasure and profit 
to both the patients and the staffs. Sunday school has been better 
attended by the patients during the last year than. ever before. It 
is run by the patients. As a rule the officers are supplied from 
among themselves and oftentimes the teachers. The various staffs of 
the Sanatorium give any help needed, and usually attendance among 
these is very good. Occasionally visitors to the institution or to some 
of the residents teach the Sunday school lesson. For several years 
Miss Grace MacKinnon of Bennettsville, South Carolina, a graduate 
nurse who is interested in the work of the Sanatorium, has been sending 
the Sunday school a check for five dollars each quarter, which amount 
practically supphes the Sunday school with the literature needed. This 
liberal contribution is very much appreciated. 


OTHER RELIGIOUS SERVICES 


The ministers of the various denominations near the Sanatorium 
have been very kind during the last year and we have averaged about 
two to three services a month, usually on an afternoon of a week day. 
Our thanks are especially due to the following ministers: Mr. Keller 
and Mr. McWhorter of Aberdeen and Mr. Alexander of Raeford. 


ENTERTAINMENTS 


The good ladies of Pinehurst and Southern Pines have for some time 
taken an interest in the social welfare of the institution and have on 
different occasions provided us with many delightful forms of entertain- 
ment. On one occasion Mr. Edgar Guest, while on a visit to Pine- 
hurst, came over and gave us a reading from his works. Miss Annie 
Oakley (Mrs. Butler) has not only given us exhibitions of her wonder- 
ful marksmanship, but has also contributed liberally to the pleasure 
of the patients in many other ways. The patients themselves occa- 
sionally get up an entertainment and these are always greatly enjoyed. 


The Woman’s Club at this place has taken a great deal of interest in 
furnishing entertainment for the patients and has given many general 
entertainments, such as seeing that the holidays are properly observed. 
As an example, a hen’s nest was found on each patient’s table at break- 
fast on Easter morning, filled with various colored Easter eggs. These 
entertainments have given much pleasure to the patients and to the 
different staffs as well. 


Tur Nortu Carortina SANATORIUM 13 


DONATIONS 


The people throughout the State continue to show a personal interest 
in the Sanatorium and the patients who come here. As evidence we 
can say that no patient has ever had to leave the Sanatorium for 
lack of clothing or funds, if the reason for leaving was made known 
When such matters have been brought to the attention of various and 
sundry clubs and people throughout the State, these things have been 
provided: As concrete examples: the State Federation of Women’s 
Clubs have been supporting a bed here in memory of Mrs. Cordie D. 
McBrayer; the United Daughters of the Confederacy have also been 
supporting a bed here. 

In addition to this the fattondig have made donations, together with 
many others whose names we were not always able to secure: 

Henderson County Tuberculosis Association (furnishing of one room). 

Federal Board for Vocational Education (books). 

All Souls Church, New York City (Mrs. F. C. Brush, Chairman, 
Cheerful Letter Committee). 


Metropolitan Church Association, Waukesha, Wisconsin. 
The Would-be-Wise Club, Fayetteville, N. C. 

Miss Annie Oakley (Mrs. Butler), Pinehurst, N. C, 
Miss Grace MacKinnon, Bennettsville, S. C. 

Mrs. M. E. Baxter, Seattle, Washington. 

Miss Rebe Hill Shields, Scotland Neck N. C. 

Miss Georgie Hicks, Faison, N. C. 

Dr. Cyrus Thompson, Jacksonville, N. C. 

Mr. J. E. Blaisdell, Southern Pines, N. C. 

Mr. E. E. Bickford, Southern Pines, N. C. 

Mrs. Shopwell, Williamsport, Pennsylvania. 

Mrs. G. R. Wittle, Southern Pines, N. C. 

United Daughters of the Confederacy, Leaksville, N. C. ($5.00). 


SANATORIUM CLINIC 


This clinic continues to be of great service to the medical profession 
and people of the State. Of course, it takes a good deal of the time of 
the medical staff, but we consider it time well spent and we feel that 
it is furnishing to the profession and the people a very valuable and 
much needed thing. We are assured in various ways at various times 
that this clinic has the hearty approval, as well as support, of the 
medical profession of the State. 


EXTENSION WORK AMONG THE NEGROES 


This is perhaps the largest and best piece of health work that has 
ever been done among the negro population of our State, or any state, 
and is showing splendid results. We believe that the negroes are more 


14 ANNUAL Report, 1921 


than ready to use the negro division of the Sanatorium, which will be 
ready to open when an appropriation is made for its maintenance. 
The statistical data on this work is found in the statistical section of 
the report. 


DECLINE IN DEATH RATE—A WINNING FIGHT 


It is a great pleasure to note that in the eight years that the State 
Board of Health has been conducting the Sanatorium and in the seven 
years that appropriations have been made to the Extension Department, 
which is the Division of Tuberculosis of the State Board of Health, 
that the actual number of deaths in the State has been reduced 50% 
in round numbers, the deaths for 1913 being given at 4,800 and for 
1921, 2,546. This means that there were 2,300 people alive at the 
end of 1921 that would have died during that year, had the same 
number of deaths taken place from tuberculosis as did in 1913, This 
is indeed great cause for encouragement. However, tuberculosis con- 
tinues to be a greater economic loss to the people of the State than all 
other preventable diseases put together, and the accomplishments thus 
far should only serve to encourage the people of the State, as well as 
those engaged in tuberculosis work, to greater effort. 


THE NORTH CAROLINA TUBERCULOSIS ASSOCIATION 


We wish to express our appreciation for the hearty and close codp- 
eration of the North Carolina Tuberculosis Association in the State- 
wide campaign against tuberculosis. Without the aid of this Associa- 
tion and without the money it has spent, the accomplishments could 
not have been so great. The funds of the Association are raised each 
year by the sale of Tuberculosis Christmas Seals at Christmas time. 


AS OTHERS SEE US 


The medical profession and the people in this and other states show 
continued appreciation of the character and amount of work being 
done here, but perhaps the greatest compliment that we have had was 
the following: The Medical Director of the Bureau of War Risk 
Insurance (now the United States Veterans’ Bureau) requested the 
National Tuberculosis Association and the American Sanatorium Asso- 
ciation to appoint a joint committee to consider and report on rules of 
discipline and treatment for War Risk Insurance beneficiaries. Doctors 
G. Walter Holden, Denver, Colorado; Henry D. Chadwick, Westfield, 
Massachusetts; Walter J. Marclay, Minneapolis, Minnesota; David R. 
Lyman, Wallingford, Connecticut; and Martin F. Sloan, Baltimore, 


Tuer NortH Carotina SANATORIUM 15 


Maryland, composed the committee. In the report of this committee, 
October 1, 1921, which was approved by Dr. James Alexander Miller, 
President of the National Tuberculosis Association, and Dr. Lawrason 
Brown, President of the American Sanatorium Association, the following 
statement was made: 


“Take sanatoriums handling principally ‘State’ patients, such as Gaylord 
Farm, Maryland State, North Carolina State, Massachusetts State, Agnes 
Memorial, Eudowood and numerous others where the,authority of discharge is 
vested in the superintendent, and you will find that order and discipline 
are maintained and that the sanatorium results obtained are among the 
best in the country. Their methods have produced excellent results and 
civilians are glad to have the benefit of treatment in these sanatoriums.” 


‘SUMMARY OF YEAR’S WORK 


OF THE NORTH CAROLINA SANATORIUM (INCLUDING THE 


EXTENSION DEPARTMENT), 1921 ‘ 
Lettersvand “postals *recelved? tn.) 14). .8e ae reek eeeeeneneee teen ee erences ts teen 25,365 
Letters Written: 
Individual iwicoe re is SO RE a ee 16,646 
Multigrapneg ) vos aii io seyee sheronehlen conser eens 50,726 
POCA Lic sb Sse cs io’ w w'leveleititioce #46 Le 0) acoyhy otal Canta Ean ie eee cece a ee 67,372 
Articles Written (Approx. No. Words): 
NG WSDADEC? 2's Sue ecnliichc lls weceum 5 eaten ene 22,350 
Bullets re ee esc kis Alare wlan Wala wept ne. 4 ss alee Cea 47,160 
Other” Publications "Fs 2 2c scree sca ce eee eee 3,700 
Articles * ‘copied 225) cea a ee ee 293,305 
Total » acerwiere eed ick as ar'eltahs lol 0m ato aie, cil acorn oR Lem ea 366,515 
Forms. and. Placards’ prepared... os). 2) os ae Pee eee ee 170 
Total Number of copies of Forms and Placards)... eass +e sears i 137,624 
Blank Cards Mailed for Reporting Cases of Tuberculosis........ 4,082 
Number Cases Reported: 
WC oie ee ccc Re a a tee et 1,433 
Colored. vow trea oo Pas a eee eee 1,090 
Totaly es cb Ch ae ag ee ee ee Ce eee 2,523 
Literature: 
Pieces ‘Sent: te «Reported Cases.cu fi \ne eens 6,531 
Other. Citerature (Sent. out... «ccs. sc eiee Dee 32,969 
Total ove RAIPUR, ON ROO O00 
Samples. of,.Crusade: Literature |Senti cic ames eee ceed ere 668 
Crusade ‘Literature Sent) to “Pupiley >) ai. ee ee eee eee ne 66,002 
Sputum Cups “Distributed 9. 0 eee ee ee ree 142,120 
Tuberculin Sent Physicians for Von Pirquet Diagnostic Test..... 226 
Blanks for Reporting Results of Von Pirquet Diagnostic Test .... 226 
Patients’ Histories Written (484). Approx. No. Words.......... 400,400 
Cards and: Envelopes Addressedu. ia) icc weiss cieebe neste nee tees 116,964 
Hnclosureés SSenes i yicc w civic bis io ios obs 4 oe ork ee ot Ee Detect ereoe 32,588 
Total Number Reached by Mrs. F. C. Williams and Supervisors 
in Addresses on Health and Sanitation ~~. <2... see ee 224,089 
Total Number Reached by Dr. E. T. Ransom by Health Moving 
Pictures. and | Tsecturess sane Speke satel o's ate thts ie epee ea rel wena ere eee 79,900 
Number of Lanterns and’ Slides. Loaneds.5). ou ne senreeenene speneneenaiee 19 
Number of Ulustrated Lectures = 25% 25%. oleta ele ns eles eine erento 86 
Number -Present, at .Dllustrated (Lectures ...%.. 0. stash ss eee 33,270 
Dr. L. B. MCBRAYER: 
Addresses delivered: ...55 bye ouelelhs cue o))s \e eons orekene a) op Geka pnest npr aee! casein 23 
TOCA AUCTION COV iiie dh atiot in) i daiaer eas occu ie opie reas RP peer ta AMeTGA sa 2,505 
Conferences attended 3%. 0.4 SEW GF ate oe vise erahetene.sftote at omen) gitar teenen ar aan 365 
Consultations) Waa ite wisi tke omeeye Uist ec 6 Mie oya ue pete oie Bete carci raion Rea 370 
Days out-of OFICe or ass ec narath ers cae, Wate a he tottatels ietebatan et ckc tie! 5 ete emer 55 


Tue Nortu Carotina SANATORIUM aly; 


Dre le MCcCAN: 


BC CEEE TOS SC CMCC LEC TuCN ama ntl ina cs dt dwt ahd Saeed ental cal Bac MaPGe ceo ve tia 6 
TOCA IE ULC LCT COME si ORE Mad. Sie ER MMI BALA ch WORE ER uns celal S elas 600 
CeO REN CCCMRALUOTI OU abies tak cia) x oe MARE Cet oe is. se kl carte where ahteae ag 6 
CSS MESS: to) «spi Sa SA ae ces slp Rd a i eS 0 
Da SmO LL COLO ll COmmmAS “© aha Vans @ Meera okt «as hoa OMS vl ce crane 40 
Dr. R. McBRAYER: 
Pane Se Sma TONT OVO ey ci, a0 aleve ate sasha tock wereld oo othe eLiiate Meee 4 
eee ETUC TIGO Me Mote Cee cota. Wo.g ee Ws eich othe ¢ o'a shibg. dbo cae, hea Boe, 400 
Reem POTICOS MEAL LOT U Clase ac vat sie ive einwinibie aero. ale oven cy 6 asa bitdesslaeisi wae 53 
OE Gey el OLR te eh ete yon ale, ENG Weigh ae lly oo inZald CS wsete eee) are eee ans 10 
TOREP ORS, OOD A By of Bh og 0 AUGER ea LATO GARE Tia ARSC a RNR aes © aR UTE oA FTC nL ad 
DEP Ls OPRUILL: 
Pre VemCIITI TOs aril eT UMeteen erste ite earl eet cleats PRM Nand SST. Dino 6 cia acellanate 22 
USUAL CTR YSIS ic OMEN MIR SEH iy SY 0 1 in te ili: Se mg A SG UR I CD 74 
eer LCN LI tame ara cee ais ie ve Reamscay sions ick Mastal.clieleheda asics a sieie 6 silage bas 11,110 
emer DCT TIOSIUT VO CASES ten roa oe erect Fe hee aie Cw « mnie al enetere nk mlacd 465 
it Mim NIISD CLOUS CACO ee: 2 n't ER High Mo's osc bce ose a i ow eee we oes aes 172 
Tim eneTTe ATTY, CASES, its. eee ish Wiel es ot cots see ee boule elma 1,487 
MiG eran DEP —Ol CX AIDINALIONS! oy of eu cincanten wipinces| exe-nieheliestipinieims AM 2,124 
re TMC ROCCO Me er toro cloth otals bo Seanet byaraicl sbaeke ele died alece, +s) one, dd meek 28 168 


Number of school children examined. Inspection, Von Pirquet, etc).... 178 


MEDICAL REPORT 


STATISTICAL 
Number patients to be reported loner 3000 a. . a2 Bee ee ee eee ail 
Number patients not tuberculous), 2.025. ooo ee ee 30 
Number patients not classified 22 2230.2 va ss ee re 7 
Number patients in Sanatorium Decen Wer iil O20 ote eee rere ee ere ere ee eee eee 114 
Number patients tréated during year 0.0.2 5.2 Joke a ea ee ee ee ee eee 462 


40 PATIENTS WHO STAYED LESS THAN 30 DAYS. 


Condition on Discharge 














Condition on Admission |— idea 
A tl § im- : 
Arrested Neetea Quiescent | Improved een Died 
Incipienttass-ce eee 3 0 0 0 3 0 0 
Moderately advanced-___12 0 0 0 11 1 0 
Far advanced_-_-__------- 25 | 0 0 0 10 9 6 
Acute tuberculosis...__- 0 0 0 0 0 0 0 
Average stay, 18.3 days. Longest stay, 29 days. Shortest stay, 4 days. 

Number gained weight, 23. Number lost weight, 6. 
Averaive paint, Scene 2 3:2 Lbs; “Average oscesi es eee nee ee 3.4 Lbs. 
Lh gare myrea sy Le ach eine A es 29.0 Lbs. |argcestilogsease os ease arene nee ee eee 9.5 Lbs. 
Sinallest vainiweese oor eee ara oe bo) Bb: ol Smallest losses a eee ne Rete Sie dbl eh: 
Sta tiorien ry elecl loa ll Rane, 2 le Leger 0 0. Not werehedi aa. ee eee eee 11 





93 PATIENTS WHO STAYED FROM 30 TO 89 DAYS. 





Condition on Discharge 


Condition on Admission 














Arrested ee Wan) Quiescent | Improved Beaeel Died 
Incipient lesa ae 27 0 1 13 13 0 0 
Moderately advanced ....21 0 0 5 15 1 0 
Far advanced.._.......-.44 0 0 3 12 25 4 
Acute tuberculosis ....._- 1 0 0 0 0 1 0 
Average stay, 59.7 days. Longest stay, 89 days. Shortest stay, 30 days. 

Number gained weight, 64. Number lost weight, 20. 

Averacergsin 2 ii. Sie iy aie aes, 8.8 Lbs: | Average? loss: gee see le eee eee 4.9 Lbs. 
atcest vain +! 5 vested ee 26.0 Lbs. || Largest loss_.-- 2582-22 eo eee 15.0 Lbs. 
mmnallest: oan yo ae em eet ke te Byfay dbo. IlmsvaaeWikecie Worcien 1 Poe tm .25 Lh. 
PLC RAUS) AYR mide) nn Wyalerrein TO meray sek UG el ea a 4 + Not: weighed. UU ae 5 





[18] 


Tue Nortn Carorina SANATORIUM 19 


178 PATIENTS WHO STAYED 90 DAYS OR MORE. 








Condition on Discharge 


Condition on Admission 














Arrested eee Quiescent | Improved bees Died 
Aincipientss e208 43 3 23 16 0 1 0 
Moderately advanced ...-80 0 1 Al 20 1 
Far advanced_.......-.- 55 0 0 10 21 14 10 
Acute tuberculosis.....__- 0 0 0 0 0 0 0 

Average stay, 183.4 days. Longest stay, 647 days. Shortest stay, 90 days. 

Number gained weight, 144. Number lost weight, 27. 
PeUPIAGE PANTY Sons send oceeeetce TORIC Sa AV era oot LOSS ae meee 1 mene ie keene 7.7 Lbs. 
PeeRCCRU TORING... oko oe cheek bS.O ups Wuareeat loss wees ee oe ee Poe 39.5 Lbs. 
Pipette! a ce OLD. homatiest losses eaiye ase as ivi a 0.25 Lb. 
PtRLIp nary es ek ek SeleNov weighedt tthe 0 yae Sa oe ees 4 





RESULTS OF SPUTUM EXAMINATIONS 








ee OM OTEATO SDL ino cd dow acc sche thala eh eree e binie o a \elatera eaten 127 
Positive— 

PON IMEERCHLEL LEAD Eibewnr et A cee on cher ca Nt ey DENS Waals G5. oo atlet UPA a Betusy BE i 2 

Pee SPOR ICL OM CC a,c wail Pte fin sey MM paen tie tales Galt, 4 lo Scan 155 

SLY TOSSA SEN ee aa RL RIN Cr Ta HAS Spr, eR 139 

SUED ETL, of eset eel A ale Hf a RR lp PRT Co Se I ae Aa all 593 

HISTORY OF HEMORRHAGE 

TU SE Se AO oo eal a ea ae Sg A ara oN le a Uae ea de 195 
Positive— 

CO VAOTISPOLL Vie ete A ots Tk CRN Wich teensy Ae Peace alae Mebeod okey’ Se 93 

PreVvViOUsStAnG GUPiIDSeresitlen ce wei. i.) .fso cles im cee. die cles 17 

HUTT eT esiG C1COe Oy ie ate aa es ies bogs, cute .4. ad ove: ere ease suet’ 6 

OLE 

AGE Civ1t CoNnDITION 

SEX 


aa 20-29 | 30-39 40-49 | 50-59] 60 Single | Married | Widowed 


ee | | |] | | 


‘ 


20 ANNUAL Report, 1921 

COMPLICATIONS 
Alveo0laris: (252 Wis aie ccc eee eer ee 1... Malaria tet aess. spots eee pets 
APVENGICICIS® Ooo. nie so eee an. lL Miscarriage] .),. mcr reine recess 
Bronch i Ctasis yi meee. ee onetime ee 1 Meningitis,” ..: jee ee ee 
Bronchial) asthma ch. ete eee eee 8 So vbitral sreeureitation.. wen cs. ce 
Broncbiti Sams Gere een pee ee 12, . MYOGATOM IS ee ee 
Bronchopneumoniar .. wees: 1 Nephritigawed .c earcemcte at Gc omit reer 
CardiaG .HyDErtropu Via. ieee. 1 |: OSteCltiQOeye ieee emer tert: 
GCHOTOLCTLIUS eo oes Bs ae eee L. Otitis 360d Ria oes ee es 
COXxa@l 21a. t. cy aerate eet ae 1; ‘Prolapse ekidney eae nc an tes 
Cold abscess on sternum........ 1) Pharyngitis ae per ee eee oak. ee 
HMNGCLEGLS. 4h guage wavs heie ties stake aie? LS. 5, BRG@SIEINCNe a oracle eae arate aaeda teed e 
Eiistile.. Game hl ceaeenre cote nase cnee 4” “PyG lige Ber een eens ee, tee ernst 
Gonorrlicamitiin woes cerry see anes l ‘“Pyorniesd evadenliianw. <a uso 
Hemorrhoid ®t. .2 dee eee eee 1° Pyopneumorthorax) 23i.. 23.%9 on. 
HLOGRWOr Ul Gare acts omy canis onan 6° Pleuricys withecuision. teak. 
EL VDGrLensioi jhe «seme Asher tetas 1 PCARISSee pie ae hhc ae ee rare 
PIRU BAZ chi a ess ies) ane 2» SODELCweanon tl (emit. es een oe 
TUL S oe ide eee ot tk eta ts een ats Pa Ly Spinal WMeningitisy ss ...ee peas 
TIAL V NSTI GI ties ee ig Sete ae 34 Spontaneous pnuemorthorax 
DUC” forces ckscelehe atcouetens sccs'a Rta Tl (POnSLiitigume eats mare ee eee 
Lung abScess >. grace, Sirs eee a 

OCCUPATIONS 
AUTOM eChairies tig..42 8. steers 2. Bookkeepers or re crwad. os oe 2 ee. 
Banko Peller circle a's tee wee nee LS Carpenter sr mtr. agin acute at 
Clerks i Des LOLe oiteeese es es ee eee 10! MeércHa tit sie ieee crete ee eae 
Coachaibuilderviuut cee. soe L  .NUPSESigis aie oe ts per eee 
COO Kast tis Riviere et ee crs me ge 1 + Paintere, cos eee elas cee 
Cotton Mill Employees.......... ib: - “Pieteghauhart a. eae eee 
Coumty; Superintendent :Welfare.. 1 Physician: (r.9- eo) eaee 
Detectives yikes nists tence mune 1 Postmaster, JASSistant i. octane < 
Dressma ker ? si: hicieron 1. Postmastetp Cleve d.: 3.6.5. ee 
HCitG BA aoe eee OR ee 1 ‘Ratlroad BmployéesvG..4.-..5...% 
Hlectriciang? b.'.0%7.7.1.ckense ease ere 2. Saléslndiss ieee wise... se sean 
fies ig 8 01) fs tera tatiana Lg aE ete man) 8. 50! Sales eniieermencsgesegn ee eens 
GlaSSTRW OV KOR TP ye wcthe ts on a eta 1.) Saw- Milnes eee eee 
FIOUSCK CC DOTS as ence one icieheinceney pon mary 2 2Seamatresse ceca eee er 
HOUSE WIV CS inide Case oe en ee on 115 “Soldiers 23.2 eee eee 
Hotel’ Clerk wrt cnt ae eon een 1” *Stenographertw ae eh eee 
Insurance Agent os:is.is<0 seh res 1. “Studentethvsch2 eo ee ae tee 
Laborers) .i22.4. SW Hat) Gotta 2:  oDeailorot fda. eer Cee ele eran: 
LA WV.OT:! ineeivep eset dean odiaua ohcleiatnetic taadatest 1 Teachers WE Rae eA OR EEE 
Machinists )) thing tie oeaane eae 9." Telégraphers } a. cue ere ee ree 
Chautleursiraerctanee ra. we ht eee % © ‘Fobaceonises.  gaiigeee ee ste 
Manager Merchandise Store..... L Pravélinge ‘Saleemen «<2. .s.5sceee 
MASON VEDTICK uote oi ceiien eens to No Occupation .2.. eee 


TOWNS FROM WHICH THE PATIENTS CAME 


ATOSKI ORR cirs Tata aee a ae one 1 
PALOT UE tele Gi alata is @ Giseeaeeu tens eam Eee, CR, 1 
BA TR CTIO€ Worse 5.5 eter eee arene RMN uae re eet ie 2 
Asheville: (i tisgerresm aeewee rhe one re 2 
ATKINSON hein sr tele eee ret rote nar aN 


PA VOLO aetiders tence serena eta cu Tati 1 


Bakersville 
Bathe 
Belmont... 
Penson. 
Brinkleyville 
Pentonville 


4 
eececvoeeeeerer ee eee ee ee @ 
eoceseevcereee eee ee eee eo @ 
oseereeererere eee ewer ee eee 


ee 6 @ ee ¢ © 6 © @ © © 6 6) Ce) ee sie 


Tur Nortu Carortina SANATORIUM 


Black SCreeli: cet cher oP Vee. dee 


Bladenboro 


Blount Creek) Uae vescsnace PlVeues 


Boomer .. 
Boone ... 
Booneville 
Bosley ... 
Brevard . 
Burlington 
Buxtoiw °°. 
Calypso .. 
Cameron . 
Carpenter 

AP y nee ts 


eoeoeerereree eo eee eet Peeve ee @ 


eoocereveer eee eee eee se 8 oe oo Oo 


oeoeoseeoeer ee eee eee ee ee eee 


eosoeeeeeee ee ee 2 © © © 8 © 8 oO @ 


oe er eee see ee eee ee ee eee 


eoeoewer ere wr eee eee eee se eo oe 


ose eee eee eee see ee emo oe 


ecveevsevee ees ee ese ee ee 8 oe oo 


eoceoererereoer eee Peewee ert eee 


POPP ORMOLOLO Foleo alete storetetetenete 0023 
eS ETT tr Aenea ea ae aielae'ele' so 6 9s 


Charlotte 
‘Claremont 
Glraton” ~2. 
Colerain . 
COMO  e.. 
Corapeake 
Woncord). 
Conover . 
Cove City 
Creston .. 
‘Currituck 
Diver. 
Stine a0. 


raper. wa. 
Hast Bend 
Edwards . 


eoeeerere eee eee eee ee ee ee O 


SCC HO HCCC CHC HEM HO He ee eee 


eeoereer eee eee eee ee eee ee @ 


ia, 6, & ee ee 6) 0 ee 6 6)"e 8 6) 8 8 0,6 


oeoeeec ee ee ee ee ee ee ew ww Ow 


eeceeereere et © ee eee eee ee eo 


e) <a): <0n Oy 6, 6 6 ©. 8) ea @ © O60, 0 @, & 0 


coeecee eee ee eee ee eer eee eve 


oeeee eer eee eee eee ee eevee 


C1) 8 (6516, @ (6 6.0 6 oe 0 6 € wo 6 4 6 8 8 


oeeeecee ee ee eee ee eee eee 


osceeoeer eer eee eee eevee eee 


oer eee eee ees ever eee eevee 


oeceeoereowr eee eo ere eee er eee 


ONS) 6 6 CFO @ 8 6 6 86 6% | 6 8 6.40 6 0 


CLI MECIGY Soc a wok ce eee cae 
IZA COULOWIO wt ech ees Ce eee 


Enfield ... 
Etowah .. 
Eufola ... 
Fairmont 
Falkland 


eoeree eee eee eee rs eso eev eee 


seers e eee ere eee eee eee ee 


OAPI OLOT eer A thc olen. ciate take 


Farmville 


eoeceeoer ere ee eee ee eee ee ose 


Mavencoviller ra. caer Rae eee 


WTA Lie: 
Fontana . 
Gastonia . 
alesse aes, 


© 6 € 8 © 6 8 6 © 6 6 Oe 60 oS) 6 i aye x 


eoseeeeree eee eee eee eve ese 


(SEKIDANLOW Wetec. one eats ce ks 


Gibsonville 
Glenwood 
Goldsboro 
Gold Hill 
Greensboro 


Ce 


*) 1G) ‘0 6.50) (@ 6 6 ‘© © 00 @ '@ 6 ¢ O)0) 9 Wi DLE 


ooereere ee ee eo Ge we eo ew ow oo eo 


eoececereer eee ee ewe nese ew @ 


Green: Mountain ........ + tears 


Greenville 
Grifton .. 


oee ee eevee ee eee oe eee eo 8 o 


oeoeoere ere eaeee et eoevesnene eo 


PALAIS DOLD. \ x pss ely oie ot ON Oe 
Bla lebee sy S25 se ale aie aia Lee ES 
ELAM PCOUWilleediccviva aystoon.d 3 eRe ee 
Leis as) peer ar aaa I fear Dae sateen 
LST GETBON: + 4/4 aie ala dearest. je 
FITC OW: 1s 05k A sik ema etait ar ik ONS 
PALS PORTIS eles yi vaspebe ew niarer eet 
F112 he ROW OLS: \¥.aereiy a 6 bibreed 4) ee 
ELITIBDOT ON) Wk nh 44% oie A Ree 
TLODG MILB’ kn (ie k cas we wwwen eee 
cturdles Mids: «46d aikieeintanee ies 
EV ATR OSHA GS fr sll vee eel a 
oD AIVORC OWT 6 oatadoratvine tesehclonmicnere Mae 
DP AMIOSVELLC Was nae demp is ety toneree eee 
A) OTE SV PLO hie nscecas pieitcn & sR 
ICANN AP OLS: = ans ¥en woe Pee ee 
OS OV PT TLF GG pats (arct han omieavehs tersnae: oh Ree eee 
WATCEAIR CA eS «ing wean ble. Poe 
KIM Sk CLEOKs wink wove cues on 
HC LU SEAM sehatetedane vcea ccancanctokeuesc ce oars 
MN TUDO Wakedickcascnita’s joratelne ghapekeliot sd ete enn 
LGU DAE inci nec che eds sh eee 
SpA WV TALS Ws cecieus ss sonetarers) IR EET 
Thea ducal thea Cx. ich. icteses totes ARUEMRAR 
RFE ORFS cia Ker ch cranes seohak bat cter hal ena eT 
16 WPS UG BE as Ho cr ott ch ahah anche stat chelate 
TICKED ELON «hows sone teat he a cle, SRC ue 
TAT DOREY 4 to or tat che ctatcks eda Ae ewe 
LA PEGI Has teh. f srteratetohe dee Mae aS 
Lime O LNGOM® Ait ocieerctetere)ara Peete ides: Morand 
WME CEO Ss ah ORG Ba OES lhhaee 8 OS 
LiOUISDULE: (ial die te dere ake deed 
Li WOMB 1s HED Fath Baeelel het Poa eae 
Lumber: Bridges + sidan. oe ole 
LiUMPELLOR Ks FAs OOK Kad tale eee 
VE CTP OMATG WK ir Bee ter stete kl sokenara ey 
NMacCleStiel di eew, ur. aes Ga oo sree Lie 
BLAS TIOTION Vera ek. Bie. eee ht cues 
INFETYSO TA Wee toe gous civ isl Sissy once aanes eae 
NISES WOU) metre ees, cee see ae ee ee ee ae 
Mar SiH Iie cou aon ccna tn see eke oan 
Marshalipureiees eck. eee 
IMEBY OU AT 28 cel sae Rete econ hor ae 
MeDane@ ih oval Deke cme & ero eee Sete 
Merry’ OAKSa ork Sie caer ae wh thik hey 
Middlesex ..... sa igh de us aoue heuane cocenene ae 
MIZDA DOE cece ach icdanel ale tra aewe s pier’ 
NROCK SVIN1G Ut sc ecanstcredeteten es het d he 5 
INONIT OG Whale sib eiclees hete aetien ADE 


Worelea. d= Civ) as caste een e a cians m 
MOTPEEn LO cic ot wate ware ice aries . 
MOP VG - fis og etetecclaten die enon mae ines 
MOUNT ALLY s) is crccette at cents enemies 
Mount Gilead «2.3... . oan Tey Pee 
Monte OU Ve. re ieee Pd eid veut 


22 AnnvuaL Report, 1921 


MountsPleasant ss; .2'.cc.c acs wenereeeiens i 
Murfreesboro ...... MPR arte Fe 2 
Nashville ie ciske eae onele etme ek 1 
IN CWO] ea wis Wieleeteneuea/ ap ale ee eee i 
ING WLOD. "tae takatcns tat. fale aloe ee eee if 
INOCMAM Hi oes see ere as ee iL 
OakDOPO™’ oe eles Caisse alee ese 1 
Oriental ew esse, oR eee ak 
OUT UE) ore or ee aides atten oaroteten ee dere 1 
Ope tebe Gd ee PRIOR ets at ae dhe 2 
Parc tOn | Ges uisietee ole oka rereh aielaney eae ea ee if 
PiINGhUPSU Poi ae ees sues ole olaintede 1 
PInetONS .4 ub ees wee ee eee pete eae 1 
IPINNACIS Gh. sete ele bet aln'y cate eee it 
PLY MOUTN eet ee ewo sink sae biee 2 
Powellsville Ue, Va we es eee ae 1 
PTINCELON piece re we elas ee uf 
PTOSDECE TAM oie cts peste pleas 2 
Raclord sue Vek ee fe leis Gas ay Bias 1 
PL GTS Do ets Bale to boa 8s SE 4 
PVAIMSCULY «Gist bbe an een 1 
Randlemancica teeta diner ieee 2 
Ransomypler yk eee os. otearere il 
Raynnam fica y come emi cee Ree af 
PRELUSVILILO pe rt0o% ccderoveacktes is sie ate 3 te 4 
PENTEL Cy ais Oe eee Siti se ree 1 
Rich Square) sss wie ewe » eeseR I hae 1 
Roanoke RADIA Asia ss «oie bs reeee 1 
ROCKING NAM Ves eh ia Gemeaeee ¢ 
RVOCKY. MOUND Eo ciscovscehs oes oa iene 7 
ODL Ae Bae) oN hice Rk and ee cor te 1 
ROOK Sir she s\auiest Ue Sk iseels a Leen eee a 
FUOWVIATIC Ni. tks ca tom, ee paim aintale 1 
TROXODG] iis). c + sles cca lo eeaeels.oeiaetions 1 
SSATITORG oie oui a cscs lee eee, 6 Oo bee eeaeats 4 
SALISDUNY whites Sasiets to cans enans end Suet 1 


Alamance? Shire ee eee een Beene 8 
ATISOTL 85 rete SRO tate ge ete 3 
A SHON 6 at ck at she ntatat titan’ MORAL Oley Ce iee eeete 1 
Beaufort* s44an eel An. Boon ee ee oe 5 
BSOLt Le A606 67. is a GAeeareta a lehotatatel atta pret 5 
PVE ON =) «WR Rene PU ee IR AME AC adh 2 
EUNCOMDE 4s 4nele neces eee oatens 3 
BULK ee eee AAU ees 2 
Wa Darr us “rssh ccen tomemoreneaniche ate gaa 3 
Cald wells ates hater eects 2 
WALlLOLre hn AA ua hes Cee 3 
Gaswell sete e ae Senet eee 3 
Cata wa itor Keres eee Ree tes 4 
Glevelands «es ee yeeiee we wee eek 5 
GOL DUS! 4s a Ps hee aes Se 4 
PAV OTL Be A aie ath olution a ees ee x 
Guinberland) “esen ss eee: Wee ee 10 
TUTTI LUCKIGNS ogis'c bd eea. Se tree thee 1 


Scotland Neck. 2. sus + Sietabete be cehevs 2 
Seven wsDPrings is eis ce ere ee eee ees 1 
Sharpsburg ..... bie te els omdieatle aekete 2 
Shelby: tee. vee NPT HAM ign Fyre 2 
Siloanver sy feces ere Bes Pe 1 
Smithiclaw. in. as Ss ots ene eteeen 3 
Statesvidlonet ture stale tetals ite ete senate 2 
Steed wer Ae cates eect ne en eee 1 
Swepsonville ..... : > algtalsreate. the 1 
StU Py Fr OFM tele ee as fetes obskabe fo pK 
PAD OT reeks ererecteta elots cl Siete s onan 1 
Tar bOLOotteaw ok Sr an cee aah Calg atch 5 
TRHOMBSV UIC wes ie letars ols ate a ene 1 
Tim DOPIANG Se ticatereshe tla auarcelee vena 1 
TYrONLOD Wide ol toteroretels! ol Hiccae rae if 
LOY Gere hse re aie alate ts eo teaize ‘ appt 
V aATieme rawness terete eta etedias ghee te 1 
V in Gland faour. Suess oe bias oie lelis uk 
WadesbDOripn cite cits anol eetete siaboeneree 1 
WarrenePiginserct er totshcceteteaes 1 
IWATLTSAW 2 rue T aati teins ere elas ie aims I 
Wash imctor i oer. cists eket renee MA e 
"Wa x hia Wie mic stelniets eehaeat cca anaes eee a | 
Weond ell Mal setercra. yese ces trea Setar teas 1 
Whitakers oi) eet is core ator ik 
W Ihitmel pumice cl gctstetetataatus vcore 1 
Whitsattams tue «i aul eoteraece al 
Williametonsnee. «ots aia ta 2 
Wilmin ston ae. ae cey are eter ace gs 1 
WILSON REGS Cece e tite srerie aemeee 2 
Wingate are carrie atk ements it 
W inStORs Salen ee crn are isles: o 
WIintOl orci eke eee ae ee dae 1 
Yad Kin ville potas cab sce trae i 
WY UTE phe Re ote otc, eed Me Liga 1 
DAT SPs ratte ote afeest eho ae GAT oie 
Davidson’. \.t.>.' Athewtaeietatde 6 tee FIGS 
Davies As cede hrs ie ere é 2 
Duplin eo oie cE Sree een 3 
Durham * sie o2 Res eee s wees AAS aT 
Hdgecombe’ ew alters wee 7 
Forsyth® (Ai secs ares womens ae S 
Franklin? }s seas ae ee eee ‘aa 
Gaston 6) 3 6 oc OP SPSS At Oe ces 9 
Gates.) d8 Fe Shea ee Peto 
Granville«/ 3.5 fae.) eee eee 4 
Guilford © hoa Peateeels! caeeeeeene 12 
Halifax dead catia d Osea at eee 10 
Flarnett::s oe feaw ¢ bee3s eee 7 
Henderson) +0050 50s 105 Senne 4. 
Hertford: ¢:..ce0) .. > 5 
Hoke: nsw vere dred fet dens Meee 2 
Iredell ie seis cee: oh doe 5 


Tuer Nortru CaroLtina SANATORIUM 


OOS LOL Pats chu hoe eee AMPEG wai 's, 8 56 6 
AIST Be Bei be CRU, ES 80 
1 EYES ge, ayia ft 1s ind Ue Sig 30 ae 4 
LLEVR TORO ED Sh tpl ail hth ale aa. nae a 3 
BE TLOOPIUE Bet tah eich. is. ohade Alcea tee so 6 ve ww ton 4 
COTE Be oh BE irae ws "soe 8 ane oes uy 
DYER EOL a oii abet tue: ote ata lee ae e's “6. 2 
UPS STG aly ual Ak aA 3 
OT OT a te a nla lstece ia! sc ajeie woe a Wes 
PM I tore cic CA's) ceoh ate: Osco «6's 8 hse 2 
PATEL TTC LY OAs alate pha cat sich ote a ble 40 « 3 
TS Gaal ne 3 
et ATMO PEG) chee valet a cos fede So: oe + 0-4 12 
ree ELT OATTOVEI 3 ied 05. o's e's as oleie as 1 
BOP al LORS Ose Segoe dss 5 
OS LOSRER Oe ee els. 8 in 
Se EWE E98 UI ae ac ne A a iE 
Pe eran > Ps a eek pe ss 0 os 2 
(CEASE (LS |e a 2 
ELC be Stel PIR NE I et ea 2 
ge CUT ORES 1 
Raut ete ot ok at scy hd hele cai oun e'o.> 5 


23 
Ban dolphsy:. socc ais Weert tai 5 
FLCOIMONG © ie ary Ree Cee alter ees 7 
EVO DESO a sts aie clatees Seen ee eae 9 
FROCKID STAIN Mieco Renee ana chee 3 
FRO WAI cars. soe hielo a reineats tare 2 
SALUD SOM Gay erty: akatie ee ee ate aie oc 4 
POOLIATICU Hes tee on Geren piane eb ce stat aia 1 
RUC ELLDL Vane rere Grete ae ects ara rene RY oF ae 1 
MUO GSR ead etcetera coiaierare eats te conan 4 
SOUL LCVi tise cites hehe aia teeta mea ete caal at oes 4 
SOT Ma WD ttt eM Be ora sith Oe PTA ae a. a 
ELHUSVLVATNS. &. sretviictre-ctate aes oe 1 
LVTOTOLE Wiale tts do tekars eemktia ocaha eee rl ae 4 
ec TLC Ole deaercatey vier wiunduaveta le cols eet ee terera ee 3 
WRK Gp GES eral GRAAL DRIES fe 8 
WW ET OTIBE, ewe Otte wt oe ven aber eeetereee 2 
Wi SEUITY St Oteno 5 errs, fers otlry Mote ateme 3 
VV LGU SEL mere, th ater eee Od cca wo hcceaee eer pene 2 
VV ELV ELE eA ees ear aRe ats (Ls i eee tae 10 
WY 1 kee eer icercc eater. tors echo shis'iay seas tenatees 2 
WilSOM peat ilce eravccuad eteteacnelae, Seen 4 
BY cl ATMO ees Ace sian a, ea, er ere 5 


OUTSIDE PATIENTS EXAMINED FOR DIAGNOSIS AND CONSULTATION 


LS GNSYC ITTY SB oe ya eel a rr af) July PAS RT SORPER ToT ca Wie Metts h G 81 
PINT EVAR E TESS IR, Ge oh s.5 as ic 6s wes Oe oA ULE U Stns ee wus acacia eet are cee 105 
DOA SEE ESV)" au A DS a 26 ew Senco Nor. er eg Oty ect tee totes toe 85 
EYL LIC eee ha Sok ack kstay elaidelade.'us ohe's 49° -Oetabeny. ov. Ceooareey ok sae ae 87 
FONT By se ea go 60 TOVELI DOR, Oh ee ae we ee 50 
VEC VARESE arr ole oS US od w tial ww ws 60 pees | 
NOMEN eens oe ce oh eae eee. 80 POTS ARORA AM es Gale eine Sotee 751 
Classification: 

Eix-patients Examined .......... 204 

FOSIMYVOs DIaSNOSis.y Fama s est aire 206 

INerative dt Diaan Osistyeaiiher as tie 341 

ROWE: Lgetln od he ate VS pn pein So alae age Mage ede LOL 


SUMMARY MEDICAL REPORT DECEMBER 1, 1920, TO 
NOVEMBER 30, 1921 


Patients Admitted: 


Dh alehyets: okay Pret h ea Pwo ME ee A eee ae Aa Sa ae A nL RD 70 
Moderately «Advanced nikon m adh ihe See AS Aa we ime etal ete ee 124 
War ACVANGCOG Casi Norske. ton heh tear ahe Aeon or ala Meee 8 eee ea ee 129 
NOG OGIABSITCT ect ets Mace a te eranedbbe ss eget e EME REE ee ena) > SEC end we 12 
MOU ILOGTICU LG UG meee rer erils tar niu dens, are Wie ahaa ame Winete amen: silat cai-ailare as Aanewentne aaa 13 
MOR DIBENOSIS «4255 weeks be ispe FP brech 54. oid TR gees RARE Bea HBB. akbnt dole tan 3 
dW) 02 NS aa BOS, GeO MRD or ROLE eh UMMC PNA Peak MR Sa ec Adie 351 
Patients, Discharged: 

RET CSUCTIMRE Matar hee Grats oe ee Ges od aan es eelats eee ee ead ol rte aepetie arene 3 
PANPATOUULY Ee TT CSCEUL« sare ya titetdtanue tale al ten enche nee Maedn fe erate tccnt ae omen peters 35 
QUT GS COTE are ees re ee oe che clean te tet OmIee Oe rch cataract ster ote atts ean ame 88 
PAI DTOVG Ceeetecatete tse ae ere ee eters acento to ae Were ann tet ar at aih, eal a a etek OMe eae 105 
LGC Viet vn em eae ie sine re ok aie Sci ee F olatose'e gee date eue le/'a bop arehena ocarayenetee rene 21 
TUE POVOC te teres, te eRe MEM ne nk RR EP POE NS, oS or ew ne 59 


24 


Not Classified 
Not Tuberculous 


Annvuat Report, 1921 


oeoeweereececevr eee sea e eee ee ere ee ee eee eee ee ese ee eee eee oo 


© @ © Ge PD & Om Be © © Cw Oe, © © eo) 1G) C0) (6) 2, eee) ened el) eelelsteperes le 





TOC, coc ss: te'lncte 4 rie uk el we wick wh pha lke AONE baMua ets ne SuPer tre Se 348 
Hospital, Days i cini. DOMOR SE eee ee ewer ee eee 40,047 
Number Patients, December 1, 1920............... 111 
Number Patients Admitted?) .oo eee eee eee 351 
Number Patients Discharsed 29 7 eee 348 
Number Patients, Decenaber 11921. eee eee 114 
state Appropriation, Maintenance... eee $85,000 
Cost per Patient: per day 10 Slate... eee eee $2.12 
STEREOROENTGENOGRAMS 
of Chest 
Sanatorium Patients Outside Patients 
455 118 
Other Parts of Body 
20 — 
Therapy 
45 — 
Total 520 118 
LABORATORY REPORT 
Sputum: CMICTOS.)) 0 sss. sca 2 a. 8 ook epieng a teeeee 1,714 
(Chemis) © ane oan Fs oc atoms, & eee eee IE, Tae 164 
Total... sedradhye® « «ERs ceeete eee Ee ene oe ee ee 1,878 
Urinalysis: CNGCTOS!) ales RIT OED 0 eas rancher homens a eae ee 803 
( Chem, ) eye Mehler CS oa epee oe eee 1,362 
(Special-Studies): 0.0.40 2 eee 12 
(Phthalein Functional Tests) <4 eee ee eee 201 
Wc) 02) Seren MPU wr einer SS ae Re 2,018 
Blood: 
Re Be Geese olen Re co ne ew ad to a, 0: ae 86 
A! (Qe ee Omer rey Rene meer emer SO se Ries 105 
Dife Wy GBo Gian bce 0% 6 ain ee «eel oe: Coals occ) cee ne ilo 
Hemoglobinw:s3 cgi 22 Saige ce 5s ee ee ee 66 
Color Index 3. Pete ee eee eee 63 
ATI OE Day se oes bs Saw svopsaietiy ep ad ere Dolan g oe ister lee ee ine GAIL Rn na 10 
Malaria. cots 6s ake cocaca slave Gale, oo 5, Src aR SHA ULcee nie) cna Cen ce 18 
"WaSSeCrmanns orc c i Be ee re Snare ee ot recalls Cone eno re iN iy 
SSUSAN / 5% sso seve Cece: Blais BG al oh coats ce oles CORE etree ais ree ore re ec an 221 
Lf gt; ne Ae a PORT CAPER MIR CT OO Athenee 40 
GHIOrIdes | oo ye ose ww 8 ew cew wise wate uhsae are et ae ee ‘ oR 
Onilture (State Tabs). ois dacs a is ects se genome 2, peacoat sells nee 5 
@oagulation Determination —o0..4.. .ssenn see. oe . 208 
Total: a errs cid wie are oe big eee ae ak eee ns et 1,031 
Basal*-Metabolismis {29.8503 20.0 2% Sine ace a wee oscar eteerana ce OPTIC a ne 182 
Fratttonal. hwald Meals «ogiew s <s's'w.d bina eon eee ee erate in ee eee 128 
PQCOS oo) view o's we liece a ce pb dic eae wee Ehale gm SP erie lee fic gh sires aia ae ea 321 
Vaginal: Smears oi. dese. Ssiwle esse essa aa ede tetera le oe ral aite fate Ren Cte ae Fe ne te A, 
PlewmpalstP uid. 36 5 ccac cokes, a) ote, ox's be dts Ga eRe ea eta as ee oes ene ae 6 
Pollen.) Protein” Reaction... :... sr.tke a1. betes entieters ec deut ie ee 15 
Bat, Discharge ~ oi. cectee ooh Oe. < ste Bice one Pate eRe ole mee ea rere tele a ie ae a af 
THAT hee ere eee ee. Meee a the ener ee oo ae ee ; 6,017 


Tur Nortru Carotina SANATORIUM 


25 


PRESENT CONDITION OF ALL INCIPIENT PATIENTS DISCHARGED FROM 


THE SANATORIUM PREVIOUS TO JUNE 80. 1921. 








Year Discharged 
































Condition on Condition November 30, 1921 
Discharge 
1914/1915|1916|1917|1918|1919|1920|1921 he 

Arrested Mivine anaworking!..20.2..5.<_- Ouieyas 6G Oe Soe Bee ee 
53 Living atid not:working...22Lh Of 01-3) 1p rtoa4y ol 9 
iB fe hi 0 ah et Paper cs Sele me ORSON PAS! | SO Or | OR Onl On laNO 
| 5791) Ue A oe Le ee eee rte nt MS he QF OTe Ol 2° he Gales 
Apparently firing sid wortoang ots sovssss 2222 Oe Oa ase st ets eta G ails 
Arrested Living and not working aS wee 1 0 3 3 4 5 7 1 24 
177 Vi ts Pala aN OO t RE cree Not ara CUM TTS Rint 1G) eo 
OSE ok I colar tetncineneeriveimpnen dd she mene a PA 1.8) FF Rab Te peg 
Quiescent Living and working 042 2es-2222- aly tba ld | Oe el 0 jel Pn ed Se ath omen aye 
110 Living and not working...-...-.-- CEB. EB loe Pa Stee 21 arg 
JOSE Ye es, a | Oe oe MEE baer og are: OM sor hace = OF lar Oo eae Oulin9 
DOS He Nhe fp ictchinkotterctreee cee Be Creasy PY 2 VO ee ag 
Improved Diving and working =. esis. c 222. 1 Ngee let a fa 0 iO a P| eninge 
82 Living and not working....._.-.-- OMI MEEOe hee 2crl! ec Oil Oe HRs n| wo) WET 
Ded dwen wo towcbucewsbaleheerde cae) DESO 1 2 if OR On eS 
POR Atca eb nears eeaeenedeeme Leder be OS O eee re Shee OO 
Unimproved Paving umcdavor knits ts so ose se A Us ih hc a a gl al ay wi 
5 Living and not working..........-- OP LOM PLO. Pe OO OF VOMO) 4 0) eo 
| OYE: Xe | Aoue | bien eae sear eames es Se Ae Ce re Pt Ot OR OF be OOP kt 
IPOSp ee se. ob abies cwiwaneionnmini en OS ekOe Oe Os On OO. ik OF PO 
Total Hontcraliny extrenrrnrcliee vat is ech 1 one es cape eere e™ LODE eHoM CO ea loo op tele o00 
427 Living and not working.......-.-.-| 1 OV Wg Gr eZ Oa GS 
IDEA sae es Sense eine ae eee Ov eal A 3 18 6 1 0 | 24 
Sola 2r eo 


; che Eee PERC evens Sie SONG. TS BNP. 5 1S 


26 ANNUAL Report, 1921 


PRESENT CONDITION OF ALL MODERATELY ADVANCED PATIENTS DISCHARGED 
FROM THE SANATORIUM PREVIOUS TO JUNE 30, 1921. 








Year Discharged 


arene ee Condition November 80, 1921 














Discharge Tae 
1914/1915/1916}1917|1918|1919}1920/1921 tal 
Arrested Living and working .:....p)aseecee Onlem4taled fil gel 1 12 Ta OMe1G 
17 Living and not working .....-_-_-_- Ose Omar Os| Se One One Ol ae Om lem Olan 
Deadis. 2s. Sa ee ee OO Oadho 1 Oat 0.4 OS) 20 ah 0 eG 
Lostesek..c.. See eee eee Of Ob Ded Df f oO EO tbe Oelned 
Apparently Living and working.......-....---- Sikhs eh D1 Gil 12 te bale to Te 87 
Arrested Living and not working .........--- pea APS Ol OE SE es ie ages) ad Ne 
52 Desde 8 2 rece eo soe ee LL eae 0. hed ta Or Ort etn ody 
LOst int tebes booeeete heed eee Dintew Ochoa) Die o1-D-dhac Oph oe Oost a Oant bent 
Quiescent Living and working .. ..-.--322-- oly Dt L020 831928. SaEP TT Ty 7 [154 
347 Living and notworking <12 25-2 3:5 | 0s! som lie jes moe le eileen lee! 
Dead ct Rie pce ee ee eee 14°) 18 4436 4 20 149) Sy Olt 
estigk: A he speedo eer eene pay fe Y08 er ag Wee Coane le We ise ae Me) WY 
Improved Ihiving and workinc) = soeseeeeee Sale xaos Los} 99) Seals on 74 
233 Rivinevandinot working 2. 2.220525) 950) ean tells Ola) eaten il eminem gant ik 
Deadies bs see Ri a ee el te Se 19: 16 HeQO 25, 1.15 Ach ahah 2106 
LOST cest ace e sea Cae aera LOD ES 6 Ty is $7 PS mee Ml WN 6 8 a 
Unimproved Living and working: 85. e5se" Op Om laelese Oren) SOM) ete On ieee 
53 Living and notwworking 22222222 2a1 One Oman ie =| ee 1 5 nM) Tay 
Dead eee See eee il 6 gee fib) | 8 ON Sheik Pah eae 
Liosten tte et a ae ee Qiao Oa Sedat Oval any Oral C50 te Oar Oa Tia 
Total Livans and workines 22s eas eee 1ule22 wee enone co0 | 7490S 71S: 1283 
702 Living and not working......-__._- Qed leeOeleto|E2ON Mon comin Lon lis 
Teas ee irs eae oie ee a Or 35 | 41 | 62 | 50 | 88 | 19 | 14 | 4 1263 


Loctite Ake eee 2 F Qe PR Tae Za ed We Se PSE LOSS 





Tur Nortu Carotina SANATORIUM ; OT 


PRESENT CONDITION OF ALL FAR ADVANCED PATIENTS DISCHARGED FROM 
THE SANATORIUM PREVIOUS TO JUNE 30, 1921. 


Year Discharged 
Condition on 





Discharged Condition November 30, 1921 Saale ie kw lee || cae La aS | 
1914/1915}1916}1917|1918}1919}1920}1921 me 
Arrested Eiving ang working J2.-c 1 selocLL2 Oe ste OP Or O40) Per Or tg 
0 Living and not working........---- Otel Ob fees One oeOh, Wael er O)a |i Oe eae On eG 
DYSON sc sn 48 aI a et ae 0 0 0 0 0 0 0 0 0 
NGS hens sec wae te oa een mens 0 0 0 0 0 0 0 0! 0 
_ Apparently Living and workings 222.5225...) Oar Onion Ode Osi Ueto ad tO. lee Or ane 
Arrested Divine andenot working ne oees e | OM On On mO ul OO eO ne On MeOn KO 
1 IDcadpareeen wns s Ccneeue See eee f OR SCOSN MON ecOs Or mnie hoa: t cre OF 
TOS (erent re ene str ren oe 0 0 0 0 0 0 0 Orie0 
= = a [Ste a a ——_—_—————————————— Or Oe ee Oe On — ss Oe  -  - d 
Quiescent living and working 3554 0s ee Oa Be 8th OB kon Seo gg 
99 ivdnovancenot workin ge. 2s" OU ela Onl nen (eeoelmon moniter el 
HD GNCh one eet tae Ro tO Bodh lO PEO Gh Se bi eae Org 
OSU eee ten see ree eee be ee ee 0 0 0 0 3 1 OP) a 4 
Improved Living and working... .<i--s2<..- Ooh brace Woh Os helo Selon ties 
rier be Living and not working. 2.-- 22-2.) 5.0;} Of. 9.) 2 )°1) 5 fil) 8} 26 
Cate oer eo Son ect te et eS 20 eo 18h 27) 168 Logan te 4a heo 
OOS CE so ahaa Soke aoe OS Oo als bw te. POO) ta O ite t 
Unimproved MeivdMosanG WO Tcl ote ease ees OF me On ea doe OF han Ou eel Le ied 
167 ivanoancenot workin @erssseeeses| ON sOnimrO) tant OA Leese Eons 
NDT Ee Rk en ee eel gn IE, Sap as LOR ie lS solo: Gee Nace Ot Wet 52 
IOS tx beee Suete selec See 0 0 0 0 0 2 0 1 3 
Total Diving and working... .....os--- Ore yield te BIA 6) VPs hars a 60 
439 ivine aneenotiwOLkdl eee eeeme oes a On ela imeae (nos rom l Lael so rl OmioO 
CANS hee Re Mee ee ee ok 42 | 47 | 41 | 53 | 54 | 42 | 26 | 15 |320 


sOsthere waseter ee waes te ore tes. ONE OS PR Tee he inte i Oh ie ee iad 





OCCUPATIONAL THERAPY 


Miss LuLA Roperson, Instructor. 
Report for year, December 1, 1920, to November 30, 1921 
(Work suspended for three months during the summer) 


Number pieces pine needle work 


Number pieces embroidery, crocheting, tatting, e€t¢....:...........0+s--. 95 
Number pieces bead work 


oolh oco.06 4.0 0 le 6. «7s taslaitOnEiE ET ROE ae eg te ar ete a 30 
Number jpie¢es punch, work [2.00.2 .< or. shane eee eaten ene en 18 
Nunober pleces feather’ Work. (0022 ascs0 op seen ae eee 13 
Number pieces ‘reed « work ....4 0... ..s.. ¢.o.osimsagie deere te tee ee See 9 

Total .nhmber .pieces) work. .......3...dc abo eee ee ae eee eee 347 


[28 


LITERATURE OF THE BUREAU OF TUBERCULOSIS OF 
THE NORTH CAROLINA STATE BOARD OF 
HEALTH 


Bulletin No. 61—How to Care for a Tuberculous Patient. 

Bulletin No. 70—TUBERCULOSIS: (A. M. A. Bulletin). 

Bulletin No. 92—An Act to Prevent the Convicts or Prisoners of North 

Carolina from Contracting Tuberculosis. 

Bulletin No. 117—Tuberculosis: Its Symptoms, Prevention and Cure. 

Bulletin No. 129—County Tuberculosis Problem. 

Bulletin No. 157—The Problem of the Returned Tuberculous Soldier. 

Bulletin No. 1000—If There Is To Be Democratic Equality of Opportunity 

There Must Be An Equal Opportunity for Health. 

Bulletin No. 1001—Murder! (Perfectly Legal.) 

Bulletin No. 1002—Carry On. 

Bulletin No. 1003—Fundamental Principles of Public Health Nursing. 

The Next To Go. 

The Story of Four Generations. 

Is Your Muffler Working or Your Cut-out Open? 

They Are Dead. 

Camouflage. 

U-Boat. 

After the “Flu,” What?—‘‘Watch Your Step.” 

The Incidence and the Importance of Pleurisy in Early Tuberculosis— 
by Dr. P. P. McCain, Sanatorium, N. C. 

A Plea for An Harlier Diagnosis of Pulmonary Tuberculosis by the Gen- 
eral Practitioner—by Dr. J. H. Way, Waynesville, N. C. 

The Diagnosis of Early Pulmonary Tuberculosis for the General Prac- 
titioner—by Dr. S. E. Thompson, Carlsbad, Texas. 

A Modern Prophecy—by Dr. Benj. K. Hays, Oxford, N. C. 

The Infectiousness of Tuberculosis—by Dr. T. D. Coleman, Augusta, Ga. 

Importance of the Whole-time Health Officer and the Whole-time Health 
Nurse in the Campaign Against Tuberculosis and All Preventable Diseases 
—by Dr. L. P. McBrayer, Sanatorium, N. C. 

Tuberculosis: A Lecture for Teachers. 

Tuberculosis Program for North Carolina. 

Moving Picture Service. 

Health Work Among the Negroes. 

Halt! You Are Under Arrést. 

The Slate of the General Assembly. 


" [29]: 


REPORT OF AUDIT 


March 30th, 1922. 
Dr. L. B. McBraygr, Superintendent, 


North Carolina Sanatorium, 
Sanatorium, N. C. 
My Dear Sir: 


In accordance with your instructions I have examined the books 
and vouchers of the North Carolina Sanatorium, at Sanatorium, N. C., 
for a period beginning December 1st, 1920, and ending November 30th, 
1921, and respectfully submit the following report as a result of said 
examination. 

The scope of my examination covered the process of verification 
and test of the clerical accuracy of the books, according to the recorded 
transactions, supported by approved vouchers. 

I submit a Schedule of Inventories, designated in this report as 
Schedule No. 8, which were furnished me by the clerk, and while 
not verified by me, are accepted as correct and made a part of this 
report. 

I have prepared various statements as enumerated in the index, 
all of which are attached hereto and exhibit, in my opinion, a correct 
view of the financial condition of the Sanatorium at the close of 
business on November 30th, 1921. 

The books are neatly and accurately kept, the bookkeeper is thor- 
oughly competent and always “on the job” and the system of account- 
ing meets the needs of the institution, and I do not see how it could 
be improved. : 


Respectfully submitted, 
(Signed ) J. J. Bernarp, 
Certified Public Accountant. 


130] 


BALANCE SHEET, NOVEMBER 30, 1921 


ASSETS AND LIABILITIES 


ASSETS 
AC LING DV AWOLY ls os she ee Re egies Bis oe kc ARS Oh ERAD a aay ae Swi boos 
Gashvinwrace. Trust ‘Con... a Dr Me rt A cae gay 9 Me TN 45,392.69 
re aT OLY HOKE ioe Giese e's ¥ie,0 ces cets 0 clea es 9,176.58 
Balance due State Appropriation: 
Permanent si Mprovement:. 4... 6%. 2% $ 25,573.42 
UOT AICO lt sire tens eee ea act ne ekehe sae ee 17,500.00 
er TSAO) Cin vere ota. tsa, «Re RAW CUI tsa: Sle vame rates 10,000.00 
BEG LEME teats 2 VIC sed Sie ietk oe ree owe 53,073.42 
RAIS TA A Ec 82;942.62 
te orm LODGTLIOS 6. bir ss Wa Ramieee wears wes OGL ek wae belo ie 541,351.84 
Dee OO CMM toy te GLa: (5°) whetieaich eviator'el gia alesse « oie sels adise $733,520.17 
LIABILITIES 
Reserve for Depreciation 2.2.0.0. 60.008. 19,286.38 
eperiral peres tension Hunde cae oes. os es 197.50 


Outstanding Vouchers Page Trust Co. .. 21,756.13 
Outstanding Vouchers Bank of Hoke .. 597.36 


era teAEMT Ly EVL LS LO Meme CNRS 1c) chots aloha alelalatelsohate ects wee ci e'ece's 41,837.37 
em itet ITM RESON tn iit el eo oa eee yee dhavene's $691,682.80 
RECEIPTS AND DISBURSEMENTS 
RECEIPTS 
STATE APPROPRIATIONS 
Permanent Improvement Fund ........ $162,321.15 
Ne erertae (REPEL Cars sku ck score ate’ ws. wieale « sles 5,000.00 
LEM LOTIOTLC Gm sTILG fics coke ee ole sles cs ees 67,500.00 
MIO PAD DLO DT LALI OMG ete als, cane’ stot ois) Aa avake Chale Gistiel Satateiecdoetene) 3 $234,821.15 
SANATORIUM HARNINGS 
Board and Treatment of Patients........ $ 68,118.81 
Beeb Up. Geek (iW (05 Ge Rae ee Any ha 1,479.42 
Amateeh Iie malilvelegels na Oe hp MGIe Aer ern URLES Seara arn $ 69,598.23 
INTERTRADING ACCOUNTS 
PUPAE DOIALION ANG. DVTAVARE. «os. ceteree es $ 60.81 
RTPULL CLV VaR ete ena aha ce aE A NS NAS Wah olah oie! at a 1,417.06 
TAOS DI Lae UP DIES Stiecis co Artal wha ise: ssntl es o ovate 1,429.47 
TelGoTa nn waAnCehOle PION. sna icy vers ssc. 6) 108.48 
Dee OMS TOLLS een Ma. . Skate vaticd Fa. a oe ole ane 1,292.44 
aT TTI) Les OS EIIPE ine. ener tic tahs Sree sea, a Abs Je 1,043.82 
NBA Wi OP UI RETSD Y 4.5 8 cesta RP oa mE pee a 42.40 
male OfS Hors aientye. te. 63 PACS iM a (aih ch ee ay ohio 256.70 
DIT SCOlLlLANCOl MMe ea he cies aha Ole! ee are laule) o's 985.86 
Totatmintertrading Accounts... oo. advan: 6,637.04 
TOA ATLALOTI UM LOATTIN GS | iis. arene atercversBstgts * 9 .«, 6 gene, sholois 16,235.20 
 Lotat Receipts RGAE Se a ate Rea RES Se Cet ier Re EUS CP OLR $311.056.42 


[31] 


B32 AnnvuAL Report, 1921 


DISBURSEMENTS 


PERMANENT IMPROVEMENTS 


State Sanatorium 


Fund Fund Total 
New buildings.4 2a ecics oes ces eee $27,436.90 
Equipment and repair old buildings...... BEE Fes ph ik 
Negro isanatoriuiin ee octets ee eee 5553.48 
Superintendent’s residence .............. 2,260.50 
Kinishine new. DUlldings ee yea kG ce Selene 48 428.89 
Laundry) ain Sah eo ee ae Ree eee. ee ee 557.44 
Well Pde Re ye ee ee ee 1 92210 
SOWE? i. c ales dese wiet vate ee erence gree beteinls oeenaaee _ 254,76 
Laboratory GC@UipMment wit. e os une un eee COD.Ot 
Cow barneangd’ Sil0vee.s . tees ee hee ee 2,466.25 
Negro. Quarter sate). Ree eee 6,253.65 
TObAL © ee coe ccc gcsca 0 & tore cul alles gota. 5 0. are tne ake ean ae $115,642.32 
EXTENSION FUND 
SAlATIGS c.f ee ae tale sans cho ny Caro eel ema $ 7,830.70 
Traveling CXPeCNGESie wo k-s issu eee tenet anne 2,782.42 
Kurniturerandstixtures? 22... 2. kee ee 1,748.40 
Books and ‘stationeryy sl. 20.) eee es 1,688.30 
SUS a aay at: Mae RED Dean cor, Oe aR STRONG NR Prue Chg AAS Th 930.08 
MISCGHAMEDUS, at ike b ohio ee Oe eee 20.10 
Total is bc Sos, arar els aligateua a eiate peg ene nana 15,000.00 
MAINTENANCE APPROPRIATION 
Salaries: 
Medical :1...23% states Gee Lae $ 6,005.30 § 37.28 
TEX @CULTYV.C cro: tes ie ee ee ay carer 3,339.34 315.55 
Ntirses and -atiendantsm + 1a 4,690.27 38.00 
Cooks. ’and servants: ayes nen seen 10,594.82 19.75 
Totaly ise a Pee Si chee ee $24,629.73 $ 410.58 25,040,31 
Supplies: 
Bedding and Jinen....5,..6-ser0sd s,L4049 $ 6896.70 
Crockery “and Silvernpaeee eee 645.10 510.14 
Drugs@and) mMedicitievy sae. eee ge: aw 1,100.46 
Miscellaneous! , 2) te.ei eee 2,379.94 4,042.34 
TOCA cis eis ei Ses ee Te $ 6,520.90 $ 6,549.64 13,070.54 
Provisions: 
MGAats © cigGincicin na duis Mae ae teteaens + +$ 4,083.29 $ 8,525.14 
Butters, the i Re ea, Leen 855.80 1,874.93 
bea IAP USIP EM ION Se eas coprees ons ac prctt's <1 Brive p40 1,917.85. 5,937.47 
Vegetable@and fruits  5- sees: ¥5371.14 -—" °'13462.36 
CLOCEY LCS i sere caine Coe an eee 6,319.99 11,772.85 
NUISCOLIBWE CIS 2 vite ts ne eens dae aed ere LOZ 272) teh eres 


POCA Pena neice aa toe Cua ce fee $14,650.34 $29.272.75 43,923.09 


Tue Nortu Carorina SANATORIUM 


DISBURSEMENTS—Continued 


State 
Fund 
Equipment: 
BULIMeUes tANd) TUES So. ka wa ce oe $ 1,530.56 
pS IIR CTIOG onc i. Ee aie. . ss wee ek 70.43 
POL QOGE cn ct Aiea PAA GK «2nd ae owe $ 1,600.99 
Office: 
VILPHEM CU OA EGU MR»  \etcn eet OER ole MARC RST nr $ 63.09 
Starionery and thoodksiis.h 4 kde. 130 
PE UTE ESM ee OL adds ele Oe Re Ra es 193.44 
MIS Ce MATCOUS UW sc 2 bls eoeic te eiececs © Rene 4 283.05 
TEES OR RAR ott ly Gre a $ 558.91 
Power and Heat: 
PE ADOT Mia thts his oes eek ok Bt? pees $ 1,847.20 
TOD ROR Me fee oe Mee So Lk GA as 7,948.63 
PRCT Or MIE Ong Sees ete, OG iris a ene cs $ 9,795.83 
Light: 
Pe DOT eve es PRCA? oc bictarele s $ 582.55 
te Yo G1 WI Shc antag oman ay ame ae cindy eae ae 281.69 
UES See $ 864.24 
Water: 

-  TEEALEYE 2 one, ERI a ae a ® | :Dat.oD 
BUCCI Gh ie es cg y sere o2 eo oo cls bates 171.44 
eNotes ebcuhe Ia, eo ds oho, Bio ew 49.06 
OCU TUDO US els sass sc a.6 Wca's siavere cscs 33.60 

TRGKEG Ate tk ie aaslaaaa is a0 pre Ba pepe $ 791.95 
Refrigeration: 
VERE XO OF CS Oa ge EM err ier ss a $ 520.00 
ICL 14 FRU) eB MU ha fc Gre eee san cal’'s & sno he dss 4.75 
SS ULT 1) POR er oa Sik a ew de aha ce ae 174.26 
MUSCOMATIIEGOUS Yai. ti. cars: soe Aw ke 171.54 
EC OLA Ws oie ce Ore ee eee ee ee § 870.55 
Plumbing and sewer: 
PEEL) O Var ent ots PUD Oey WP ded RN AN Leg > 920.00 
UCU LD ITTCILGlIM re sk Otter ere tence cc eek aese eee 21.00 
STELDITCS Fenner tae ete tee ra tt aerea a cl 6 84 
PPOUEL go Rtiietaks ovare to cia 2 Hee SE ee ees $ 6. 5 411.8 4 
Farms: 

PiLoive Stock...) OR IOS pepe ser Pye ere ek 
Repairstort building sic wee on iets 53.75 
WEA CTIALCT Va 201) Cy UO GUS me aenvevttenuntey sas ane nar0 1,653.16 
Seedvandafertilizers: i... /ceaeies 1,178.29 
Ue veye en i i a Ae ep 640.44 
12, O pee ee eae sebon tile: ccs’ ee cece ache’ 4,006.86 
MOS COLLIS TN CONSA ture ot osc amscla tetas: eres eee 37.49 

AWUTHW DS ek Sle ee SRY iar leah ied aie $ 7,569.99 





Sanatorium 
Fund 
$ Odea 
186.38 
$ 563.51 
$ 157.90 
51.33 
43.14) 
36.00 
$ 288.34 
$ 52.00 
9,971.64 
$10,023.64 
$ 10.20 
$ 10.20 
$ 50.82 
$ 50.82 
$ 10.41 
15.00 
306.35 
$ 331.76 
$ 4.92 
$ 4.92 
$ 15.65 
44.64 
273.46 
2,620.23 
351.38 
1,473.07 
81.89 
$ 4,860.32 


$ 


33 


Total 


847.25 


19,819.47 


874.44 


842.77 


1,202.31 


546.76 


12,430.31 


34 AnnuaL Report, 1921 


DISBURSEMENTS—ContTINUED 
State Sanatorium 


Fund 
Dairy: 

Repairs to. barn and) silos... 3.3. 2% S een 
Lives Stock. his ee kee cee ee eee 290.55 
Fixtures so, sta oe eee ee oe ee 123.39 
Supplies es ee rere er eee ee eee 245.49 
Peed £2 Axis see eet cee 4,717.38 
DTG et NOME ts as atl eee tho el 1,639.43 
Miscellanéous ice: a xcl). se) senor 

TOCA TL De et ae ee ee $ 7,016.24 

Miscellaneous: 

*TOANUSGATIC. lace ete ee otteeee core ee ee She ee, 
Ti DOT ere an eet cole eee nti ee renee 206.50 
Traine aChooM veiw ee cee 115.20 
Telegraph and telephone .......... 1,167.22 
TiSALTV OT Vip ec siecle eee aioe eeeieerett eee 2,272.19 
Transter fand deliveryer. fee. cia eet DTD, 
Refunds Brvand. -Ti5 Ree eee i eee 825.98 
Freight, and express) 22.8.8) 7 ence 2,164.84 
HOf ACCOMUH Gace ot aeabestem pe oan eee 424.99 
DE it a Pee oh sg nt Ron ihe Oh Prd | Boe 1,213.62 

Total Nee 3 Oe RPP ee setae $ 9,588.49 
Total Disbursements os 2. oes S Soe eee 


GENERAL SUMMARY 
Balance December Ist, 1920: 


Casandra were cae ese Gul tees $ 1,988.12 
ee a SOs LEU Su eC Osme Bie te ee 16,375.14 © 
7?) ~ pa A VOLO Gaetan eevee occas 2,265.70 
TOGATAR. 2%. wher pee Anaalaen etutie tetas 
Outstanding Vouchers, Page Trust Co.....$ 11,917.41 
7 Bankiopt1oke ce sie. see eeees 2,0Ddeat 
Totalourstandinges ans ss ee 


True balance Dec. ist, 1920.... 
Received from State Appropriations ....$234,821.15 
i. i Sanatorium earnings .... 69,598.23 
Intertrading Accounts ... 6,637.04 


” ” 


Md Weyer W ER iiirrs ars ee mie ny IM hI te loasdecti sho te 
Total “to. accounitmiOne.. satanic oreo eee 
DISBURSEMENTS 

Permanent improvements .............. $115,642.32 

HIMCENSION TUM Ate. at chee see es ee ale 15,000.00 

Maintenance ey ialk Parc ie ane fa ale A rene 85,000.00 
Total Appropriation expenditures . 
Maintenance from earnings ..........ec<- 

Totala: Disbursements. | .72salitt saa ee eons 

Balan-cevony band Pare we. ee ies onde sei eee 


Fund 


ah Sie 
180.41 
96.9% 
718.13 
4,403.78 
106.79 

3.00 


$ 5,519.76 


oe ee eee 


183.29 
2,145.79 
2,431,81 
3,956.26 

386.€2 

220.42 

513.84 


9,889.34 


eooceerereee eee 


$ 20,628.96 


14,468.68 
$ 6,160.28 


311,056.42 


$215,642.32 


67,775.58 


eeeerecereee ee 


eeeceoeeereevee 


Total 


$ 12,536.00 


19,477.83 
$283,417.90 


$317,216.70 


283,417.90 
$ 33,798.80 


Tur Nortu Carotina SANATORIUM 35 
Cash eile OMCs mere sel tan ie a, Ae let lete ere 1,583.02 
Cache ee aror Prust CO. sites 45,392.69 
Cash imepanksonmwoKey.... eee. 9,176.58 
PEO Coe etal PER 8. ia arutas teen erate Ua UP ee) oe $ 56,152.29 
Less outstanding vouchers: 
ea SGae TITS bie (Oeste ters tata hs ad ata lanets 21,756.13 
EA ee LABEL ORK Ot orale acd gl ate ater eteleS"s 597.36 
SIREN We ON het On INT a Rr Al ae ARE 22,353.49 
VExed We gives 2 ub intive Ail piled wl PARMA ORES ILA BBE Seta let Ph pram GU A pal $ 33,798.80 





RECONCILIATION OF CASH ACCOUNT 


RECEIPTS 
1920 
eT ME EM a Cesc BL AG aie ele aioe ards sled oes af sl oreseae hele 
1921 
Sa ea rat en ME 0 3) NE es), «Vad, home 4) 9.4) ale as WG b> 10,158.94 
aR A Era cA Zig a. ss nuh p Re Baia oR wR 5,914.04 
Og le ee, A el eis Baran 6,784.82 
Deiat a cy -arely as gp sp arg o asd REMIT VN 5,609.29) 
ee re Be Re othe se Meas liens ey ate os se 8 6 bale ob aes 6,984.30. 
ee ee re Ge aks cha A, ws syle! iyi & ies viel ads © 9 4 ae dine Male 6,054.49 
hye? dketan yb et Ea Of 4A A Ret Be Os ORE BOR OR EE 5,572.98 
ma eh teeta Me Marcha a'as pac te sais, Vh5, Ki6 eit ssh Guar aiiwl's ies -aini ere nw a4 5,171.18 
SISTINE, 2052 IRIE NO ip ee 5,827.07 
RPE OC Fairies ST «oo. othe ous ee 8s a woven bes as a OPIN Oe ae 5,105.76 
ETI TIT Olt MEMMMEMENEE,. cS ia ha lela ai, fs /6ohy yeh old culda eilene nie Ghacaule wa 5,234.49 
OREM ECO COLIC GEMS CONT cas ss! erctate Eats tee teaie eae ce 8 dec dag ouaae 
Casta Oicespecember: 18st, 1920.6 00. bev le ee bee nee Palghat 
CUR te MeO Tee BOA GAL Sop #5 crs. Me 5 Fels eda ach Na late Mla vite starellelin, ay Obes Niet ele 
DEPOSITS BANK oF HOKE 
1920 
Ber C eames Ree hn I's, Seat Fn <p sa Sehae es ete iv ebehatal ana ote o's DP (hroe.o2 
1921 
EE VET Vay eee Steer eMeibe char Nella WG Bogs, Oe, 90h Gye Ohana He. oS ot areca 9,848.07 
ROSE UAT Vee eRe R? sige Sew Ge ee sh Mra webenred eo hein ot 6,375.66 
SHELLS Cae ~ aoc ae: tot CARIOUS EO reg Oc A sO UA Dy OPN aU? 5,754.46 
PATE ers Seo absven™. Dra Sere a TEL VEEN NW Md DA ids SA 3 aA 6,861.55 
UE ore, ie ate: IAS Ue Lo a er ene A SER AL RP 6,887.28 
UL TL Comcct ray seoke RAR ras 5 HOMER SD ON GR Ear gh oi, He Sae GREEN, SEAL be brs 82 5 a de 5,743.76 
RAT Waste, Noone ATEN SSB (ice tak cl seeNe Ae vatclton aS, us RUaarY Gee tarah hale raha atek pues 5,914.05 
PATTER (165 CMa en Sere Me Mate Rests e100 od eM ONES ah ce oA, ev es 12 Ge Be ORME TAN tga atoGR Da 5,134.89 
SOVIET? ote tlratehe tik 0 Secteners oe MM ee OR Le ere ee 5,038.52 
PCO DET rate e tart Betas eal ching fu haigehe lahore bh maven NCS, WER, ole Nie le enero 4,482.78 
DONG IVI CI caetey tay oacs sewed ola che Gare Te thaliat aia LWawe Bs hag bo fo quer eee tee a 6,245.79 


Real Estate: 
Hospital Grounds 


LET 11S Ratna Talc, paca tore tet pis onata eval © alee ware 34,750.00 
MWeleeth sp eh 88 RN eae RRR | OP eee Mpa Tt yrs Arch et Som RPLEERE A Beir 
Buildings: 
PALIT OGSLY EL LIOLE ere nek. heh rater Miretede (a taereni ta etary reteeatete eet alt $ 6,100.00 
POST Om SATIALOL LILI rete taints) gaat ote te Mle tetahelsl se akdiyisia) eta tats 5,553.48 


eee ee ee © eo © © we © wo oe 


Ais ch.ty ay HS eaehokny eges ene reserayece ye MEP ake $ 20,000.00 


$ 76,235.27 


1,988.12 


$ 78,223.39 


76,640.37 


$ 1,583.02 


$ 54,750.00 


36 ANNUAL Report, 1921 


Nurses”: -HioOmeé* 2.5 ae errr ce cee PARA PK: 
Superintendent’s Residence 
Assistant Superintendent’s Residence 
Assembly? Haihwanud spinnin’ ROOM. «eee 
Infirmary and New Administration Building .... 
Open Air? Cottage (NGY LIne. oc oo eee 
Flanagan Cottage 
Servants’ Quarters 
Snow MEG (Couaze. is a os «wis obs pte a oe ene 
Physician’s Residence 
Sunshine; Cottage! ie it side seis ae ee ee 
Farm Residence 
Dairy Buildings! "5. e228. 20.6 hs. ss ote eee 


oe eee eee eee eee ee we eee 


eee eer ee eee 


syle, 6: © © 2 6 (© 2 6 0 16 #0 © '6 (6 © 0 (014) 6 ol be) wee 6 Je 


ee SS ee 
Ove le (0 © © 6 ie 0 0 be 6 18 0, 6 seme se eee: © 0 


C6 .O 6.6 0) 6 16) 16. 0) 6 (© ©: Ge) -e, “e: 6 ioe. (011016 18) phe) e ere © 


Total 
Power, .Heat,,.Water, and) Light. (i.4 -:6 sue 


Telephone sSystem sino. i ee Pe og oo ee 3,440.37 
Sewer system and Disposal’ Plant: ... 2... eee ya ally: Res 
Total 000. Oy awts ac hls Pda bs oe eee 76,093.16 
Total .Wixed “Properties... i. : i. +4 sie ee ee $ 541,351.84 
INVENTORIES NOVEMBER 30, 1921 
Farm (Supplies vet.eyicua. cb sce hone cae ee eee 878.75 
Farm (Machinery and ,Hauipment.: .....,. 409 eee 2,902.65 
Farm, Live , StGGii wy ¥.c% & we bible od aie bs 6 Gein ee 900.00 
Total Farm 0.0.00... 0s.%00s 605 «500k ae eee oe $ 4,681.40 
Dairy, Supplies) ane ise act bu ct eee S$ 712905 
Dairy alive Stock io ea ose bas oa 5 ee 5 ee 13,763.36 
Total “Dairy” 2222204 2c Ne a ee ee 20,892.51 
FLOBS! ies Bowe bine oaleve whe Gareie Bone wid cana ele lo aa 2,889.40 
Furniture and ixtures. Hospitals .2.....6..-seeeener $ 14,830.45 
Furniture and Fixtures Dining Hall and Kitchen .... 2,993.00 
Furniture and Fixtures Supt. Residence .....|....... 1,535.74 
Furniture and dfixtures Nurses’. Home... 30. eee 1,050.00 
Totalt CRG Bie 6-5 eo oO ae Sie a oae eee beaten 20,409.19 
Linen and+Bedddne eck s20) noe hae tae so eee 2,917.50 
Crockery” ‘andi silver fof ei, ste eee ne 303.75 
Drugs ‘and Medicines 203. Won ee i ae es 2,449.50 
Hospital:Suppliessand Hatipment=......4. . see eee 7,231.40 
Provisions |. Ge) PRAeS ce sd ae al ell aa ie ou ee ee 3,162.60 
Training (SchooksBooksy asic we aoe hee eee eee 198.16 
Power; Heat@, Water: and Gisnt. ee peect, 1 ee eee 2,227.00 
Slereo pti com "Outiitey ee teeeo cs oe a aaa A ee een Sa a 131.00 
TGV DL AT Y.\) cechs chaatocdioct oe Meche dt aed ER eaten Tec eee 135.00 
Office, Supplies; Business obec. oe: one ee ee eee 150.00 
Office” Equipment; (Business.© \.c.eie ate. ce ee ene 392.00 
Office sSupplies) cbixtension wane 16 eae he oe ee T211.30 
Office Equipment, HWixtension #1 22. etn ke eee oe ee 4,216.50 
Laboratory and Med. Office Equipment .............. 7,328.41 
Transportationmandecdorayareet ae er eee f, 2,500.00 
otal) os ee a eS Po ee ath ee ane en ee 34,070.12 


Ce 


$ 61,219.64 


$ 10,200.00 


7,150.00 
2,260.50 
8,500.00 


260,550.10 
3,700.00 , 


6,731.84 
6,253.65 
1,750.00 
3,900.00 
3,500.00 
3,804.03 


26,205.08 


$ 410,508.68 


82,942.62 


Tue Nortu Carotina SANATORIUM 


RECONCILIATION OF BANK BALANCES 


December Ist, 1920, to November 30th, 1921 
BANK oF HoKE, RAEFoRD, N. C. 


Balance in bank as shown on Pass Book, 


eCela Olen ree LOUDOUN AT SN fut ke heel). ee erie $* 2,265.70 
PEG ACOMPLIA TPE AICL IOUT ais cuca se Gites alate cies Cale es 5 76,640.37 
CPIM eb aneseng AGG Aa atl nae ag gE ga in A as Te RN ln Aas A hl 
Vouchers outstanding December‘1, 1920.7..........., 2,901.27 
PU COOUS Ura Wwi Curing PeCrTiOUd ... ees cle ck ee els cpl ee 67,775.58 
Git eee Pte, oh ene ie hat hr eo HS HOF SY Mr tN eh nate oc 


Dalai Germ eeein beth LetOOT. 2 ccs oe be oa PO ee PS 


BANK RECONCILIATION 


Balance in bank as per Pass Book, 


LOBOS Daye <0, SAG Gata Regine Mian Be Pe OR TRAE $ 9,176.58 
Miutseanadineavoucners December 1, 1921 2.2... wes 597.36 
Be eEd 1 CMOPEEN RE oS Sc oe aoe ap bee oc soe: oie, athe Gan dat AO Pa gG.4 oe wracked HERG 


37 


$ 78,906.07 


$ 70,326.85 


$ 8,579.22 


$ 8,579.22 

















NOM AMRE APT eA ASRS kb We NANA a oem eee e eres > 7.60 
ip LGD, St sited he SR Ree Le a rat cease i MO de a 3.63 
Me RP Fe ye se te Oe eich wit ep thio eis folly te ake. oe vad 
_ ACNE Ve ER AR SR Re a oa Rae Pa eat 7.45 
% i Ce PORN rel oe 17s nctans Cie ete ANGE S Na Tale se oe Salk 17.00 
SME dara i toa, gta i's! aha. < vas ges tars es > bed cane aatncg SARS Abe ost £58.91 
re RUM eee eal de aia § uel gi aie whee we ib cn NSS $597.36 
RECONCILIATION OF BANK BALANCES 
December 1st, 1920, to November 30th, 1921 
Pace Trust ComMPANyY, ABERDEEN, N. C. 
PalanCesit DanKmWecemoer DLO 20 oi siure owsysiene. @osi seas, 21s $ 16,375.14 
Deposited by State Treasurer 2... cee eee ee ieiee 234,821.15 
OD Ly ee iced MOINS HGH chahat hat aN ePabalie! efor s) oh etal oho ols tenthe Pron & aproty $251,196.29 
Outstanding vouchers December 1, 1920.............. $° 11,917.41 
NIOTLENers Ula wietliiminer DOLLOG fe. i lamas + etme peeks 215,642.32 
FTO EAL Mae PR Mar ch aera Ne aetlpulere Velle'ia/ aie. gtar'g ailouste eb hiave re ae eee, beac SoG) 221.004 to 
Balance Decem Pere Ly LO 21a eters nn chops craks ene: os aibbiah Whee ieh yecee el $ 23,636.56 
BANK RECONCILIATION 
Balance December 1, 1921 ark « sce a crsde ares = orete ouoleaie ¥, 0° $ 45,392.69 
Less outstanding: vouchers... ....0.. 220 e see cee he tees 21,756.13 
Balan Cem ree wie: oss seeie a clelgale Be We ton FT Oreo w tive eee at ee 5 23,636.56 


Notal- amount outstanding checks.............. $21,756.13 


38 ANNUAL Report, 1921 


TRIAL BALANCE DECEMBER 1, 1921 


Dw 
Surplus sissies Soa bie oheveual c euake home. iedeln inline erate Soa mete ecient 
Real Estate: 
Hospital sGrounds. 2a oii ee ae ee ee $ 20,000.00 
Administrations Building sen pea en eee 6,100.00 
Negro :Samatoriuimt) (i). \s eke qegelies istics. se eee 5,553.48 
Nurses” Home® (225. cS Oey ae 10,200.00 
Superintendent’s “Residence -).).c0i5. 20 eee 7,150.00 
Assistant Superintendent’s Residence ........... 2,260.50 
Assembly and Dining Halls and Kitchen ........ 8,500.00 
New. Wel ives sak se ae thie Siete a se ae 7,922.17 
THETA Pee oii sie bea tices eeu. ie eee enn 260,550.10 
Open Air: Cottage (No.! Load. oii sks Ya. eee 3,700.00 
OpenVAirwCottage "NO. .2 ae ens claps eee 6,731.84 
New Powers Plant}, 2s vote tie cn eee 557.44 
Servants’ ‘Quarters. 3.) : 7S Sa ee 6,253.65 
Snow Hill Cottage. 2... ose eri a 1,750.00 
Physicians sResidence ck 06 as Sal c oeetaee oe eee 3,500.00 
Repairs to, OlduBuildines 7) .cse +. tscseaecee ee ee 13,752.71 
Farm Stppliesiand. Expense 2.20). ss. eee 878.75 
PRAY TS ele le eee aoteshseloe hel alice i aaeh Geeohts vote ra lea ee 34,750.00 
Farm Machinery and: Equipment ’..4°47- eee 2,902.65 
Farm ‘GiveyStock 4d aces ate pie ounce conse Sheets ene ee 900.00 
Farm. “Resideénce:. 74.5 4a. sien ahr eee ee 3,804.03 
Dairyapupplies and Expense..4.> .- ns oc oe ee 7,129.15 
Barns, Silo, Bottling Plant and Equipment ...... 26,205.08 
DairvyelivesStock’' |. catieaus ie ccc stro te teen 13,763.36 
F028 WACCOUNG Re aus isos seenuhs sususls oblate oa ake hae See 2,889.40 
Furniture and Fixtures: 
EFOSDALA a ie Wer gota tows eter e alae cvacetehe <icht eda hatte ne 14,830.45 
Dining + Halizand) Kitchen 20 2 toes tee 2,993.00 
Superintendent’s : Residence... 05... 5. 0 0 eee 1,535.74 
Nurses’) FLOMes tis aes Mi oleheiee Vives, 4 64,02 © bee 1,050.00 
Linen Mand MiBeddi ng ies ce eee, ty Ciete et ac See ee 2,917.50 
Crockery. and COW Wer ae ie ee ee ees ce ee 303.75 
Drugs:and) Medicines 25 vate te ke aco ulster es eee 2,449.50 
Hospital Suppliesuand -Hauipment. 204 ics ie eee 7,231.40 
PLOVISLOT SHG arene 5, gcelnvecniad aks de ecard bays hice aie ka Poe oe eae 3,162.60 
Training (School BOOKS 44 waish Giiswile. teiaeroknee caeneaan rene 198.16 
Power Heat Lig) eete. oc Bl ce oes eee ee te 53,297.47 
Telephone jis VStar wncns hots elation, ab oveneusraseneus tt lane tee eae 3,440.37 
Stereopticon sOulhtigs Sic ealbenkke she eee 131.00 
| Bileipc hinge ee earn ee ein roe CCEA ea rt BLA Lo 135.00 
Oficen Supplies, Business (oc. So atten ene Tee 150.00 
Office, HGuipment Business iy. wlan eee eee eae 392.00 
OMce«cSupplicssextensiony .... .dieum, kes hous eee 727.30 
Office Haquipment, Wxtensions.... cenieressan oe al, aeons 4,216.50 
Laboratory and Medicine, Office Equipment ........ 7.328.41 
ErAansportationsands Dravare, ona ue seen ee eee 2,500.00 
Sewer oyVsStemvandebisposal :Plant syne aan meee ee 11,433.15 
Reserve-tor. Depreciation aq .:% 67.6 sitet pier ereeeneieae 
Landscapes Awe saree Ae esa e Gee ee eee 939.10 
Permanent"Ilmprovement ase. eet aie. hte ere eee 
POXTEN SION! moi oath otek tales eiatok ieee tetts Gi ee te eee 
O15 Ns Cee Le AAC g Mok GER RRM AI tote Li a A 1,583.02 
Bank of HOK@ 2... eee eee ee eee hes’ bst's ede a Pte 8,579.32 
Totals 


Cr: 


$562,497.42 


19,286.38 


7,247.75 
197.50 


Shire ee MP mR eR aL] AMM ISELY SS Ache kt $589,229.05 $589,229.05 


ANNUAL REPORT 


OF THE 


NORTH CAROLINA TUBERCULOSIS ASSOCIATION 
Oo 


Oring a 

‘ne ns y 
A: hah 

( =o 





REPORT OF MANAGING DIRECTOR 


This has been the outstanding year in the history of our Associa- 
tion. The most important feature was the medico-sociologic meeting 
at Greensboro, October 6th and 7th, 1921—a largely attended and 
enthusiastic meeting. Every session was good and very good, but the 
luncheon, pay-as-you-go, in the Y. W. C. A. Hut, given by the ladies 
of the local association known as the District Nurse and Relief 
Committee, really reached the high light of the meeting, the Bagel: 
theme Baie the Guilford County Sanatorium. 

Another feature that should be specifically mentioned was the attend- 
ance of the National Tuberculosis Association officials; the President, 
Dr. James Alexander Miller; the Managing Director, Dr. Charles J. 
Hatfield; and the Administrative Secretary, Mr. Frederick D. Hop- 
kins. They delivered a number of addresses that were well received 
and their very presence added inspiration and enthusiasm, while it 
served also the purpose of getting acquainted with them and _ their 
getting acquainted with us. 

Largest Seal Sale in History of Association——This meeting, too, 
we believe, helped us to give to those present, who were interested, 
a close-up view of the Seal Sale, which was evidenced by the largest 
sale in December, 1921, of any year. 

Bonds and Taxes Voted for Two County Sanatoria.—Another out- 
standing thing of the year was the voting of $100,000 in bonds and 
tax of five cents on the $100 in Guilford County, December 20th, 1921. 
There is no doubt that the meeting, and the luncheon particularly, 
was the match that lighted the fuse and started a movement for a 
bond election in the near future. Following this on February 9th, 
1922, a bond election for $150,000 and maintenance tax of eight cents 
on the $100 of assessed property was voted in Gaston County. The 
interest in this last tuberculosis hospital dates, so far as we know, 
to the first tuberculosis clinic in Gaston County, held by our Clinic 
Physician, Dr. J. L. Spruill. This was followed by visits by your 
Managing Director; also Dr. P. P. McCain. As an evidence of the 
interest of the cotton mills in this proposition, we might relate the 
following incident as worthy of mention: At a mass-meeting in Gas- 
tonia, called to discuss the advisability and probabilty of a county 
tuberculosis hospital, attended by your Managing Director and Clinic 
Physician, the matter of financing the proposition was under discus- 
sion, and your Managing Director recommended a bond issue and main- 
tenance tax. Colonel Armstrong, dean of the cotton mill presidents, 

[41] 


42 Annvuat Report, 1921 


unhappily now deceased, arose and stated that he would speak for 
the cotton mills of Gaston County and say they favored the proposition, 
and it mattered not whether the funds were received by taxation or 
voluntary contributions, the cotton mills would pay 75% of the cost 
in either event. 


Passes for Dr. Sprull—We have endeavored to secure passes on 
all the railroads for our Clinic Physician, but so far only the Seaboard 
and C. C. & O. have responded. This is very valuable and is duly, 
appreciated. 


The Mail Sale-—We sent out 35,000 letters containing one hundred 
seals and kindly requested that the recipient return to us in the en- 
closed stamped envelope one dollar or the one hundred seals. These 
seals for the very large part went into rural territory where seals 
had never been sold before, which probably accounts for the fact that 
only one letter out of six and a half brought the dollar. We sent 
letters to two hundred fourth-class postmasters in small towns where 
we could not secure a chairman or an adequate list for mail sale 
purposes. The post masters were requested to sell the seals and remit 
the money. We received approximately $300 in this way. 


Durham.—The Civie League at Durham has been seals agent here- 
tofore, and Mrs. T. D. Jones of Durham is a member of our Board 
of Directors. We were unable to get this Civic League to secure a 
chairman. Your Managing Director visited Durham, returning from 
a meeting of the Second District Medical Society at Greenville. I 
was making my way from Raleigh to Durham when the motor bus 
stripped its gear and left us high but not dry, as the rain was 
descending in torrents. On this account I was late for my engagement 
and the ladies had gone out to tea, et cetera. I had an engagement 
with the State Board of Medical Examiners in Greensboro that night 
and could not wait longer than train time for a conference. I saw 
. Dr, A. Cheatham, City and County Health Officer; the Superintendent 
of Schools; County Welfare Officer, and others. On my return to 
Sanatorium we mail-saled the City of Durham, using the telephone 
directory for names and addresses, and sent out about 2,500 letters 
with one hundred seals in each, which brought us in $774.00. 


Motion Picture Car for Negroes——This has continued to be of dis- 
tinct value, and as per my previous report to the Executive Com- 
mittee, the comparative report for the two years is as follows: 


4 1919 1920 
Number reached in health entertainments and lectures 
by BOT. Ransome. Wy cea eae ai ae 49,262 67,687 
SOAS SOLA w 4 Ph hie inte ak cna io, 2) ane ee eee $0,102.48 $5,253.13 
HxpensevMoving.Pictute= Car . Age: oe eee 5,786.98 5,474.67 


ixpense, other swork*amone. Negroes». ware ae ee 3,104.92 3,366.36 


Tue Nortu Carortina Tusercurosis ASSOCIATION 43 


The negroes have sold more seals this year than any other year, the 
comparative statement being as follows: 


1919... .$5,182.48 1920... .$5,253.13 1921... .$5,810.51 


The Executive Committee felt that with the smaller amount of money 
in hand this year, compared with last, it would be better to wait and 
see the final results of the seal sale before proceeding with the movie 
car, and that matter will be for your determination. 


Loan to Public Health Nurses.—There has been a loan fund of 
$1,000 since 1920. This loan was for graduate nurses who desired to 
take a course in public health nursing, but on account of lack of 
available funds could not do so. We have made only one loan, which 
was to Miss Alice B. Casey, who not only agreed to repay the loan 
at the end of a year, but agreed to do public health nursing in this 
State for one year after her graduation. Miss Casey began work in 
Lumberton, North Carolina, later leaving there, and we have been 
unable to get in touch with her since. It would seem that it is 
hardly necessary to continue this appropriation. 


Finances.—While this has been the largest Seal Sale in the history 
of the Association, giving us some $6,000 more than in 1920, yet 
we had at that time an outstanding loan to the North Carolina Sana- 
torium of $8,745, which was repaid during the year. This sum added 
‘to the total receipts of the Executive office gave us in round numbers 
$24,000 for work during the past year. This year we have no bills 
receivable, and the total receipts of the Executive office will be only 
slightly in excess of $17,000, which means that we have $7,000 less 
to spend this year than last. Our budget will have to be arranged 
accordingly. The following items of expense are necessary if the 
Seal Sale is to be conducted in 1922 (the amount allowed for cam- 
paign expense is the irreducible minimum that will have to be spent 
before receipts for 1922 begin coming in): 


Kod LoD mex POlSOGM prec s Raglcuel. ceed alicwiely ee ean Te Hake | Panne sat $5,000.00 
NOG eLTap EL CAlila OL USO Cuetec re al ee eld ht doteuel scars ecco aber oles 1,000.00 
Salar yer VANES IN She OT CCLOM mae cathtie kbd oy fhetela oe are ate ahora le 1,200.00 
Miscellaneous expenses, stamps, express, stationery, ete... 800.00 
See SLO Seat OCU Olmine sme osteitis ata eice nb yuiien oie peRcnia le iseeactn rer $8,500.00 


and leaves the same amount to be used as authorized by the Board 
of Directors, as far as funds permit, for the following purposes: 


VB OM URS) mh aR, eee ie RRR ON Sow eae ie Ae aR ee, og Si reine tes lS $1,000.00 
CoINiGabiy ciClation. aot cetsy Ae Sc SPOT SR TSAR Huh GROEN or stole tors « Teeane 4,200.00 
MOVIE CMD LC LUT eS CTIVI GO tiie be. A cere tts heeapah maMittten ys oh tiiseny nye) obetey seek a a 3,000.00 
Salary: Bemonthelor SUPerVISOLS \i.c.5 sce ta' + ota ls oe oheeieisie seis 2,750.00 
FROSEAT GIMMRW ORG ice MN ilad atts, elteccon cra! aitte toyele colle: ciara tots Seeretenedamseen ane 1,000.00 

TOCA ee ee ee Na Pe, 2S BEATEN OURO MOE LUE idle: die: 0a Tomar ahs $11,950.00 


The expenses for the services mentioned are figured at the minimum 
and it is only under the most favorable conditions that they will 


44 AnnvuaL Report, 1921 


be as low. It is therefore apparent that we lack at least $3,450 to 
continue the work the Association has been doing. 

The $1,000 suggested for publication of Bulletin is, we consider, 
very important. For three years the State Board of Health has given 
the Association and the Bureau of Tuberculosis either the November 
or December official Health Bulletin as an exclusively tuberculosis 
Bulletin. Each year we have increased the Bulletin by sixteen pages, 
making a thirty-two page Bulletin, the State Board of Health paying 
for sixteen pages and the Association paying for sixteen. As the 
Bulletin goes into over 50,000 homes, and we understand is generally 
read, we consider it one of the best investments that we can make, 
especially so as the Bulletin reaches the people just before the Tuber- 
culosis Christmas Seals are placed on sale. 

The importance of using at least $4,200 for clinic work is apparent. 
The scope of work should be enlarged and we believe the psychological 
time is now, if we are to reap the full benefit of the last two years 
work. | 
The $3,000 will probably operate the picture truck this year. Unless 
we give this service to the colored people we can hardly expect their 
support in the Seal Sale next year, which will mean a loss in 
revenue of over $5,000. By using $2,750 to pay part salary for 
one month to thirty-eight supervising teachers of rural colored schools, 
we secure approximately one-sixth of their time. They conduct the 
Seal Sale among the colored people; organize the Modern Health 
Crusade; make arrangements for the moving picture shows; give 
talks and illustrated lectures on tuberculosis, and assist in teaching 
the known cases how to prevent the infection of others. 

A discussion covering the research work will be welcome. 

Community Chests——It is possible that the community chest will 
interfere with the Seal Sale unless the committee in charge of said 
chests, and the community, can be made to understand the State 
and nation-wide scope of tuberculosis work supported by the sale of 
seals. It did hurt the sale in Asheville last year, psychologically, 
because the people felt that they had absolved themselves from all 
things of the kind for the year and because the people, and possibly 
members of the committee, did not understand that the Seal Sale 
was not included in the chest, although Dr. Dunn and your Managing 
Director had both interviewed the chairman of the committee and 
had been assured that the Seal Sale would be taken care of, and we 
are quite sure that he thought he had done so. Greensboro has 
since adopted the community chest idea and Wilmington has it under 
consideration at this time. 

Respectfully submitted, 
L. B. McBrayer, 
Managing Director. 
March 27th, 1922. 


REPORT OF AUDIT 


NortH Carorina Tusrrcunosis Association, 
Sanatorium, North Carolina. 
GENTLEMEN : 

I hereby certify that I have examined the books and accounts, 
including receipts, disbursements and bank balances of the North 
Carolina Tuberculosis Association as kept by its Managing Director 
and its Treasurer, Dr. L. B. McBrayer, for a period beginning April 
1st, 1920, and ending March 18th, 1922, and I find same to be correct 
in every detail, and the bank balances at the Page Trust Company 
agree with the bank balances as shown on the books of the Association. 

Respectfully submitted, 
J. J. BERNARD, 
Certified Public Accountant. 


NORTH CAROLINA TUBERCULOSIS ASSOCIATION 
REPORT OF 1921 SEAL SALE 


Ro eI Cs OMB SORTS SOIC is c.g erect ae bree Reha We weedbe » 40,572.73 
Pore TONDO NS. SO1G 6 ok so as 50s 6 eis gai ow ella ie eeels 2,080.00 
ioe Vvormemaliepaper, Sold >.<... «ciereiauhs oadellanaws)» ws teen 4S 42;662:78 
a MME (OG UMPIRE TE TIVOTY can 's 4. ina !G..c sin H's) do ocx On Las soko ce 30,284.68 
Pe Oemio VECO LO MOem@ ital CINE . itis seach ss can to esas ae a as Cale a 5,810.51 
Sold by PEPE. SUS od CR ea ee A Re Sei a 6,557.54 
$ 42;652.73 
Sire PE TOMO UMC CALS SOL. cis ous ascchinc ic chk coe deca. d <a e.h 2 ob pctwor vies $ 42,652.73 
cme ae OC MCT ALGINLCI. ... < Gcics 5 c-icdus Gals Gis cas 04 Shaw sce eels oe $ 20,494.08 
re $ 22,158.65 
BRM vam CUTeCIOIFINGN) f... oa. oo 5 eieetel teOe Ric wus 6 Spores es $ 20,494.08 
Meceipts x. Office, white chairmen. ..2. 2266.6. ..0. 00. $ 9,790.60 
Hecetpts Ex. Office, colored chairmen. ssid. .cniaien 5,810.51 
Become six OrocO mall Sales.sis . sss aus eeabbetbe > NSighea 6,557.54 $$ 22,158.65 
Preceunesmet SOCULI VG OLIICEy or uleee © clea atest sists sie cele ees Albis seiner axes 0s % 22,155.00 
Expenses: 
Se ecu s Cee WALES hake Pats ald Paup thie eee sa unrilal s Siena OO Go 
Stationery, literature, seal suppliesi. vi. ..0....- 2,979.04 
EO SUELO Coe i ree Seen tas Meee RE NR oh c Pacot ene ae oat a leee. cae aaeear ees D2 Ok 
PVM OLRER? OX PCNSess Ashes fF ead ee alee ods 75.00 
$ 6,943.30 
57> due National: Association: 4:2. gi acss ri bcs eee ewe. 2,132.69 9,075:o9 
Net ‘Receiptsy DPxrecutive -Ofices,. 12sec here nnd ec 0. I $ 13,082.66 
receipts Lode. ref x. $5,253.07 Receipts Ex. Office $ 1,613.22 Exp. $ 696.81 
4 TOLER RA ae 6,745.22 1 e f AL G0:0 jae 1,235.72 
A ODE Sek kl ome 8,033.86 oy % a 2.63050 tee 1,590.43 
st LO LGueeees. 12,078.74 fy i ae ATSOf00 eo 2,750.56 
e Oi eeeereae Veer soa 02 oS ig f $, 03643007 el bee 
de LOT So 42,407.18 a A 23,408.53” 8,528.18 
a LOZ0 Ree ee 36,728.38 3 ” i 18,062.81 ” 7,774.04 


$4 LOD LER tileree 42,652.73 “ 4 i 22,158.65 ” 9,075.99 


46 AnnvuaL Report, 1921 


FINANCIAL STATEMENT FOR THE FISCAL YEAR ENDING 
FEBRUARY 19, 1922 


RECEIPTS 
Balance on hand as per report submitted at Annual Meeting 
Febrtrarys 28, 192070 7 eke La eee $ 4,380.27 
Received from sale of ‘Crusade supplies 2. a.m oie eee ee ee ee 627.57 
Receipts. colored) chairmen (2%... .2.... 1 2 hte eee if SELES ees Se es 5,810.51 
Receipts, white: chairmen = cc. yews teus ow Nee eee ee tee 9,790.60 
Receipts mail ‘sale wo. ese os. Fea dale a ence eee eee te cane eee 6,557.54 
Commission: from ‘sale*of scales: 225k eee eee 3.00 
Framsferred) from Savingspaccount.0</c.26 seen ete ee eer 13,000.00 
Interest. ons adoves eg. Wek 2 eas es anus 6 dha hie i ee are ree, Par 279.89 
Donations v.10. DaC.,* Leaksville yikes © Vee ee 5.00 
Loans repaid by North) Garolina’ Sanatorium. ess ee eee 8,745,00 
Total receipts. 28 te. Pee oe ek RR ee ee $ 49,199.38 
DISBURSEMENTS 
Priel Gy ReCt Olea co acct ete Heads eee 375.00 
Publication ® of4 DUTIetID S tien ce Res chad Pee ee oo oe 1,123.52 
Campaign . expenditures wiccpas aie eees cides ie ee ee 6,943.30 
Clinic. PRYSiCian steaks vi. e's sp eis eee eee el alos ee here 4,102.23 
X-Ray  CQUIPMeN te? Sie ALG Oe es Pe ee 650.00 
Negro moving picture: service. & aes does = een 3,198.17 
Négro health*worker. oe) kk vie ee eee 3,394.06 
Expense Executive Committee Meeting............... 341.99 
Research “work gRs ibe ie te cha: Son ie a tae ec ae 11.50 
Modern Health Crusade...... Ld aly we eok A tecetais, hs eee 1,597.47 
Salary. Managing Director sy os +4 accu ses a ene 1,200.00 
Transtéerred*to-savines accounts... 4 y.2 ss eee 18,000.00 
Miscellaneous expenses............... site nis 1s set ROEeoRaeee te 6,265.23 47,202.47 


Balance at Merchants and Farmers Bank, March 10, 1922.. $ 1,996.91 


ASSETS 

March 10 Balance’-checking,\accountsos eee eee ee Siete 9S6.01 
Balance. savings saccounte.!. 2... een eater eae 15,000.00 
Due-from=sale.of Crusade supplies oan ves oscuro 628.00 

Totalicash assets. 7. ..5t. out cee ee ee ee eee $ 17,624.91 

INVENTORY 

1» Dodge -Truek ye isc ete hale ia 0s see Ie eee es $ 100.00 
L Dod ge. TRUCKiil isco pata line ate ordi al halebe. st sleek take. Rete raat a ee 500.00 
L' Delo. s\6-. FASS Be ice ce aot cea St ote ae 150.00 
moving piceturenmachine yoenense al. xt ates OR AEM EA oi eet YB 75.00 
12;sets lanterns. an dsslidess). rin h.ste seein peek eee ae 360.00 
2nstacks filine cabinets.c). <i.s «<0 cies a) ouel eteieveielsick ool eca ene ane nE 90.00 
Crusade supplies. 0c oe 5 ee ee ha eta Ce ale ee Ri ean ren 500.00 


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NINTH REPORT 


OF THE 


North Carolina Sanatorium for the 
Treatment of Tuberculosis 


SANATORIUM, N.C. 


FOR THE PERIOD 


FROM DECEMBER 1, 1921, TO JUNE 30, 1922 





RALEIGH, N.C. 
Epwarps & BROUGHTON PRINTING COMPANY 
STATE PRINTERS 
1923 





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TABLE OF CONTENTS 


ee a ee ah ee 5 
on CL eee Pests | egret, se NS yb 
Personnel: 
Beier eteiaveeloord Olenedith. 0 feel eee oo de eee 9 
Re pencionenarimientel.. volves. esgeud pees i cian steed the Beit ci eps Oy 9 
ery tle re suet ieee Mee ee ee acre lan ie ve Ot ig eS Ie 10 
Officers and Directors, North Carolina Tuberculosis Association_........._..-- 10 
Bremer ev eOllbise\y.OFki 2000.) abso ae. ever des Ne ee tT 
Extension UNEE ES uc 5 esd USS Ee LN gO Sie Nes eA 5 ea ee en ee Ey 12 
ee ee ars eR oe N oc a a be oe ed 13 
Sir nr eer OO Vem ee ch ee eg ei es a 17 
Weeranire oftne Bureau of ‘Vuberculosis........-----..-..4¢-.--- sh iece te eet 18 
Oe ee ote SUD POrtino Datlcnteic2.0..0os0 02 ede dnw---5- ater ees eba ce Ruet yal oaeaee 19 


Dae Vint ROC ant ta be) Ce pera te a ae sn meter Mi TE Ye i ee 20 


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LETTER OF TRANS MITTAL 


Dr. W. 8S. Rangin, Secretary, 
State Board of Health, 
Fialeigh, N.C. 

My Derar Doctor:—I hereby transmit to you, and through you 
to the State Board of Health and the Governor and General Assembly, 
a report, being the ninth report of the North Carolina Sanatorium 
for the Treatment of Tuberculosis, for the period from December 1, 
1921, to June 30, 1922. 


Very respectfully yours, 


Dobe VMcbRaven.. MD. BIA.C.E:, 
Superintendent. 


(5) 


NINTH REPORT 


OF THE 


NORTH CAROLINA SANATORIUM FOR THE 
TREATMENT OF TUBERCULOSIS 
SANATORIUM, N. C. 


UNDER CONTROL OF 


THE STATE BOARD OF HEALTH 


We are pleased to report continued improvement and progress. 


MEDICAL WORK 


Our medical work has expanded and improved steadily, as our facili- 
ties for doing good work has been increased. Every member of the 
staff keeps fully abreast of the advances in medicine generally, because 
often a patient does not die from tuberculosis alone, but from any one 
or several of the many diseases that afflict mankind, which diseases, if 
cured, would leave the patient ‘‘free to get well of tuberculosis.”’ Our 
laboratory has increased in usefulness as facilities for work have been 
provided in the completion of the main building, and our routine 
laboratory work is in a general way equal to the best. Our X-ray 
laboratory has continued to extend its usefulness and we are now doing 
much X-ray therapy in addition to the diagnostic work. The opening 
and furnishing of our operating room has added greatly to the thorough- 
ness of our work. 

Our patients seem more contented and happier since our buildings 
are more modern and more comfortable. We are looking forward with 
much pleasure to the completion of our new auditorium, dining rooms, 
kitchen, bakery, cold storage, etc., which are now rapidly taking form. 

Religious services have been conducted on an average of twice a 
month by nearby ministers. We are especially indebted to Rev. O. A. 
Keller, of the Baptist Church, Aberdeen, Rev. Eugene Alexander, cf 
the Presbyterian Church, Montrose, and Rev. Euclid McWhorter, of 
the Methodist Church, Aberdeen. In addition, Sunday School is held 
every Sunday evening and other services at intervals. 

Many entertainments and recreations of various kinds have been 20t- 
ten up by the patients or the patients in collaboration with some one or 


7] 


8 Report, 1922 


several members of the staff—the woman’s club of Sanatorium having 
frequently been the promoter of such entertainments. 

The attitude of the people of the State generally toward the tuber- 
culosis problem is more and more showing an intelligent interest in the 
treatment and prevention of tuberculosis, which is due in large measure 
to the educational work of the Extension Department and the State 
Tuberculosis Association, which association works in codperation with 
us along the same general lines. 


FARM, DAIRY AND HOGS 


Our farm is in very much better shape than ever before and will 
continue to improve. Our methods of bookkeeping enable us to show 
a profit and loss account on the farm, and for the past few years the farm 
always shows a nice profit, and, 1oo, furnishes fresh vegetables and fruits 
in season that for the most part could not be had until from a few to 
ten or twelve days old. 

Our dairy plant and herd continue to be models for the State and 
furnish a quality of milk that could not otherwise be had. The dairy 
is the most profitable part of the entire farming operations. 

The herd of hogs, now numbering more than one hundred, has been 
built up from one herd sire and two matrons, and in addition furnishes 
the table with from two hundred to four hundred pounds of pork every 
week in the year, and can be easily increased to take care of any increased 
number of patients. We are using the Berkshire breed. We leased 
our herd sire to Pinehurst Farms, in return for a similar favor from 
Mr. Tufts, and while Mr. Tufts was the temporary owner of our herd 
sire, he won Grand Champion Prize with him at the State Fair, 1921. 
At the Southern Berkshire Congress, at Pinehurst, 1922, we won some 
forty-five dollars in premiums on six of our hogs with.only two days 
preparation. | 


NORTH CAROLINA SANATORIUM 


FOR THE TREATMENT OF TUBERCULOSIS 


Under the Control of the State Board of Health 


PERSONNEL 

MEMBERS STATE BOARD OF HEALTH 
eM BELGVHGL WAY, PTESiGeiisl.. ccs ok clei sc vic ln oll dhl ale cele va ces Waynesville 
rn Come mrin anise ws Mrmr ral try. OPN ely he yo Raleigh 
EM Gace RE ici kc eee sf ae ed Sages woke s Asheville 
a ee T a hay c's se gg sh oe pig ee a ol Re Pe ere Ua Charlotte 
ME EA NDI SON |. 2s os ooy-5 5's cule ek as ROR hehe Lele idl Statesville 
ee ere) HL AWUGHINGHOUGBES ¢ .bives Gale v's db Pak eaeala Lo ule lwislece Greenville 
ee mA OG) LYS Cs) 2 04186, 5's gy gs) Scag MRL OEM, ce ce Mala Wilmington 
STH SL) A) yc ia8 Geis eo ka here ss onc oo AE Res eae § Roxboro 
RE Ue Bee POON oh le a adudbn ni.) ate Nuala source Ges Lh, she eg Jacksonville 


Dr. W.S. Rankin, Secretary and State Health Officer, Raleigh 


SUS OUAN jp. 07 L. B. McBrayzmr, M.D., F.A.C.P. 
Apeistanigoupermiendent, .....6.. 6585665 eas v3 P. P. McCain, A.B., M.D. 
MieristonGe Mme... is de lee hes S. M. Birrrncrr, M.D. 
VCC ORME IOUREOTICS. feiss ake sk sv la ek R. McBrayer, A.B., M.D. 
ICOM POGCMC LEIS oo. cv beh eves ba aee’s A. W. Snow 

Private Secretary to the Superintendent.......Mrs. H. O. Sinx 

Pe econicinnen went a bee a es J. Warp Hicks 

Pe etaNGeNOCUMCIAN..... 0... eis sda sas ele ees Miss Maupr Mann 
Superintendent of Nurses.............../....Muiss E. Connouiy 
Assistant Superintendent of Nurses........... Miss Mattizr YATES 
Bea NOM od ay kas sibld Hada vn haves « L. Repp 

DCE EPI sine. cc huge PU Sia REE RS J. B. WEBSTER 

PAPI EMAGeRe ay oun oe VA Wace a ck ee L. B. McBrayer, Jr. 


EXTENSION DEPARTMENT OF THE NORTH CAROLINA SANATORIU *i 
FOR THE TREATMENT OF TUBERCULOSIS 


Bureau or TuBERcuLosis, STATE BoarRpD or HEALTH 


PreccomOl bullet ene eee til VLC DRAV ER UV: Dir ARG 


Pres stant CML OL DUTCAU eaiec cielnc tice ds et asete P. P. McCain, A.B., M.D. 
BTCC CLOUAEVigem tke Uae cena ceeded, te mate eats A. W. SNow 
PPEOOSTADUCT gLLCAG colo miwick 4 oa alae acres Mrs. H. O. SInK 
aD ERAT) Ole Creare et se vou. tWatils ac eaten iatsta a i Miss Mary SNEAD 
BOSE CVAD UCIT met ee dei aatad ph fs 2 ay Meee ete! Miss Grapy INGLE 
ST GtO UTA OL ame A facia ss 'ah 5 Siciets ida DR sé Miss Srpyu_ BRABBLE 
SEMOULADCT Teen tere cer ctte hat pen vei Mrs. J. L. SpRUILu 
RO Cr ee wee ot eet ens 8 ya Sek aes ey Rare H. O. Sink 
Director Organization and Education Among 
LC ANCPTOCS SR tmrmate tes, «eid Bice ge arn ee FLORENCE C. WILLIAMS 


9] 


10 Report, 1922 


CONSULTING STAFF 


{Dr Geo. We PRESSLY 22-2) 2 te Charlotte 
, Surgery........ \Dr.iJ) F. HigHsmrra at. 24, Pie eee eee Fayetteville 
Dr. Jas. MM. Emu. iu oh ee ee Fayetteville 
liye, eis, NG Dk. MM. LER! Smoor: 502) eee ene eee Fayetteville 
QO CT OO 83.) TYR Wat hod ORDANG se oe te ne Fayetteville 
IS (Deo A.J. CROWELL... sce. e See eee Charlotte 
Genilonmni nary) Tyre, JD: Higksmrper 77 es pets eee ener eee: Fayetteville — 
Pathologysi.¢% 4 DR Jas. Bo BULLITT,.. 2. icece ee ee reee e Chapel Hill 
Pharmacology... .DR. WM: DEB. MACNIDER (2) o ean ee Chapel Hill 


PERSONNEL 
NORTH CAROLINA TUBERCULOSIS ASSOCIATION 


Mrs: Gorpon. FINGER, Presidentas oc... 72. We ee ee Charlotte 
Mrs: Caas. R.. WHITAKER, Vice-President ..\:4) dana eee tt Ae 3 Hendersonville 
Dr. L. B. McBrayir, Managing Director and Secretary-Treasurer.. . .Sanatorium 
Dr. Ji LwSrrorun, Clinic Phystetvanse NY o) as ee ee ee Sanatorium 
A. W.. Snow, Assistant Secretary: ean. hGe owe eee nes Sanatorium 
Dr. E. T. Ransom, Moving Picture Exhibitor and Lecturer........... Sanatorium 
DIRECTORS 
Dr. OTHO "ROSSi te ee Ee ae pee. 6 lead a ee Charlotte 
MreeCurapirt MaARriniiga (aie al, 2 eee Wilmington 
Mss WiiNs Suara esis oo id Se eee er Southern Pines 
Mrs: T.D. JoNpe beeches DEV 4 ee Durham 
Dr. Gi Li. MINORD (bes RE ee eee Asheville 
MRR: Bas WILSON 4: oes ies shia Keen Mow co welase dO eae a ane Raleigh 
Dae Rei CAR PON eiey ce on Bat we cAu an ot A aio 5a ha ee NE Winston-Salem 
Dr. J. DONNOLLY Agee ae Re Na Charlotte 
Mras.. Cy Gy) HOOK anid ourcieis Sead tbe eb wate ble Charlotte 
Dri iW. Lo. DUNN aod ba eel SO Oe le, Ce Asheville 
Cot: J. Lo Loprowe Sige ite Gee. RO eee Winston-Salem 
M rss MARK QUINNERUY o-7 qectia SP apie. seri pei er Greenville 
Mrs..8.°H- BROWN. - ian sea detonate Oxford 
Mr. HAamitton.@: Jonns ior. uae ie ee Charlotte 
Mrs. HowarD, RONDTHALER 4.045. ob lek ce ee Winston-Salem 
Mrs. ©..J. TINSLEY. 5 oreo + abies ale ee Greensboro 
Mrs. MiaxT. Payne, oni Ca) ae Le Greensboro 


Mrs. M. E. Rostnson..... i partee PIMPIN ier ec oe et ee Goldsboro 


NINTH REPORT 
OF THE 


NORTH CAROLINA SANATORIUM FOR THE 
TREATMENT OF TUBERCULOSIS 


SANATORIUM, N. C. 


UNDER CONTROL OF -: 


THE STATE BOARD OF HEALTH 


SUMMARY OF SEVEN MONTHS WORK 
December 1, 1921—June 30, 1922. 











Letters and postals received................ Pai OS EEE PNA Fe vita cu Seng joss 26,262 
Letters written: 
TSO CCT SAI oS ge ONG es ee PR ae SAE Ae 8,660 
BE Oat ay at hia hp A oA ita! his Dt Ee Oeics ORE LMR dose oie 57,273 
SERGE, 0 Rice UUM: CaS aan se eR SEG an >. UC a oa RR 65,933 
Articles written (approximate number of words): 
ey ocr ene a aco ia i alete wn x wiwlwlbye ueslahe 4 Mints ai eta ee 20 11,050 
BET Re URN face aietste es oe ial Raye tates We al a 750 
eer US Leyes ce sees teas WN he Pw la ie so 16,000 
Be MT OM OTOL oy th oy ck) eee ed akce aries atau ery SRM GRD s la o's 126,550 
. JUSYEW R R RENAE YS ROO He Ear ge Re men ey Soe 154,350 
Articles copied (approximate number words).................200 ee eeues 596,960 
Serre OD acHeea PLCDATCC 2 iGo. 42), ance ns wi says aaplldlee ce ON eee we ews 80 
fava) number copies of forms and-placards. (0... ve ce ee 24,002 
Blank cards mailed for reporting cases of tuberculosis..............:.... 2,817 
Number of cases reported: 
Sante mE enc WN Le AY Moe (Soto partir inae aks: a ee oie ae Maelo 705 
COOLERS 0 2 TR ae a Pa sa emer dalic sc. sake ake a Goes 651 
Eee UPReETIUAR ER fiee we titew es hh arate ey iteuiee ute arama acy v are te. 1,356 
Bee era urea i COsCON OLE CABCAWa aies urs icant ote gly uldie Seas ha: she calnialiot ies opt 2,857 
EEG NVR OVE Js hPMET SHAT g 0] CG ea ec aiibeg Mann la” GABE Mh A Me PRA RON Me ue a 15,624 
TEESE GE wine NETS ROIS A VARS Ria eR i vr ih Ci, Na Da Ml a a 24,045 
PA PDIEVEPUSHUS MICETA LUNG. mii vale bureeraner rou lori a Nala ee aS Lana ate 38 
Boneom cups: Gistribited stu Tee i res cd MCT ig arene EON i gates 104,100 
Tuberculin sent physicians for von Pirqt et diagnostic test............... 224 
Blanks for reporting results of von Pirquet diagnostic test............... 224 
aarti s NISLOTICS WLILLRH cars bic We fh crctctals wate ee tava enc ae apy pate ya ia a tw scoaseidt tae 375 
Approximate number of words in patients’ histories...................4. 376,200 
ier ODES COT ERSECE ae Ve thas We et Ae wiettee tivee Fis RRR cL eg tue hic Raat 72,101 
SE ORTINCRSE ILC OU Te 7 tent ORES URE Rae ek Oc Pet oot ete CAN ee a urna ern 169,010 
SO TPES Gy PAPIENTSIOS ATO ITO CENA ys Serre cc aieea hae ni  ieee aR cue ah saelan AEE wh ens 440 
} Report or L. B. McBrayer, M.D., F.A.C.P. 
POW EMO ROL OL C Ome ittern 2) ni stabs shale ocierizenel Sur Aeetan at W peatay GARR Ste) dec aller as an ae 32 
Be esses ACLIVCLC OM woe ao hn, sis: Sitti ante cae 30 ca nia kane aAW Weel -\~ tare nda 12 
BGs Tithe DU CIOM CORT vig sis pucks ante Pace nbaian a my oer ate Mabie eicae “Sh or ge poke AU lanai 1,100 


12 | Report, 1922 


Report oF P. P. McCain, A.B., M.D. 


Days out/of offices... cantata owe ee ee ict os An ie eae 
Papers read fc. As: fae PMI ANI ee ee 5h Oe on 
Number mm audiencess.. ©. 53. ce eee 1 tice Cjaheh ea een ee 


Report oF R. McBrayer, A.B., M.D. 


Days-_out. of ‘Offices. 0. 32 hoes aw aja s aeiee ow ee = eee 
Papers readies. vga) Adige sah. Wo aee ah. ag/epes wee aneti gina 
Number in audiencess:..4 usc. «0a ss cutee eh ec ee 
Conferences adcnu steer seer Aner A Bop Ee Ma og tnd 


EXTENSION WORK 
SUMMARY OF WorK AMONG THE NEGROES 
December 1, 1921—June 30, 1922 
Number reached by Mrs. Williams and colored supervisors in health 
Number resolied by DF WD: Rauaom by leet ages ee eee 
MOVING PLCCULES. Ae sx Mow eredietas alt 5 ah Wis ea eee 


REPORT OF X-Ray LABORATORY 





Stereoroentgenograms of chests (Sanatorium patients).......... 305 
Stereoroentgenograms of chests (outside patients)............... 227 
Flat plates.ef other parte of body 2. 232... pias eee ee rv 

Total ii eu al ea) oS I 
X-fay therapy oS sae ee kde ee cl cr 
Gastro-intestinal-studies.:: .\.... 2. 4... 2 =. besbaoeae cece ea are 


TUBERCULOSIS CLINICS 
J. L. Sprumy, M.D., Cirnicran 
December 1, 1921—June 30, 1922 


Number of"days in‘ clinics: (0) 90. <. S| oko 6 ce ae 
Number addresses given... ..52 fais ce «ics soon Mite ena 
Total atidiencess. 9 ea Sh mete ss oe ce nee 
Number of positive cases. . Om. cee 4. «c's ss tee eo eer 328 
Number of negative eases. 255.5 2050.20: 2s oe eee 665 
Number of suspicious Cases. 2 7 05. soc et la eee ete 105 





Total numberof éxaminations. 2. 022..0ca. ene ee 
Examinations by inspection, 2.022.225. cuter teeter 


SPECIAL EXAMINATIONS OF CHILDREN 


Number éxamined st. 00. is i ee en ie) oo 
Nuutber given von Pirquet test, 7. (50s 40.1.0: . sae omen ne 
Positive to von Pirquet test... 25 22 Po rn ee 
Negative to von’ Pirquettést..20% ec 00.5. ek een Oe 
Questionable: is.5 Je ae Pos so Uhedle » dacee Re ee ee 


20 
290: 


19 
130 
ie 


171,485 
12,054 


609 
15 


Tue Norte CaroLtina SANATORIUM 13 


MEDICAL REPORT, 1922 





STATISTICAL 
ee Oussseli LS 00 WG TEDOLLCQ Os s/c). <. 5c cha eee ay se whe dts sage ee be 6 201 
Number not classified........ 18a hE Se hy OUD RN SER Ce: Sc se AN) Ce Seri: 
Eee R MTU TCU AC hau ae. Ai Niigls siig, i TORRE OD «Gk lel asic, sare § s Rue tga inte 19 
Mien oro ents in Sanatorium, July1, 1022) oo ee ees wk 151 
Total number patients treated during the seven months................. 379 


30 Patients WHo StayEep Less THAN 30 Days 


Condition on Discharge 


Condition on 
Admission Appar- 





4 4 = . Unim- . 
Arrested OE ae Quiescent|Improved proved Died 
Incipient. . 4 0 0 0 4 0 0 
Moderately advanced 9 0 0 0 9 0 0 
Haredvancedy: ..... 17 0 0 0 6 9 2 
Acute tuberculosis... 6 0 0 0 0 0 0 


OTP eet fet, 0) 


Totat Numper Days, 507. Averaacn Stay, 16.9 Days. Loneust Stay, 29 Days. 
SHortTest Stay, 3 Days. 


Number Gained Weight, 17 Number Lost Weight, 5 
AmeUAe GAIT), si. as.. a ceo so POEMS PVA VORA LOSS oc oi cia. ook ys wns ondale 2.7 Lbs. 
SS Ee 10, Och bee it Largest dosti eo kes LA 5.0 Lbs 
SPS eSUeP AIT, ceo. Secs hs» 003 .5 Lb Srmalldsttoss.i22 3 8. tas oi. Ale .5 Lb 


SPOUT SV Mayas, ai. chs Gs 2 wate «+ BY imN obeweighed3.7) hee an 3 


41 Patients WHo STAYED 30 To 89 Days 


Condition on Discharge 


Condition on 


Admission ® rare 0 , : iene 
rrested/ently Ar-|Quiescent| Improve Died 
rested proved 
emeipreies aah Sonik 7 0 0 2 4 1 0 
Moderately advanced 7 0 0 3 4 0 0 
Far advanced....... 27 0 0 1 10 14 2 
Acute tuberculosis... 0 0 0 0 0 0 0 


PPOtAls tet ye th lo eee 


14 Report, 1922 


Tota, NUMBER Dee 2,417. AveracE Stay, 58.9 Days. Lonezst Stay, 89 
Days. SHORTEST Sray, 30 Days. 


Number Gained Weight, 25 Number Lost Weight, 13 
Average gain... ..i0.60.. ss Od Libs. |\ Average ilice sane ener 5. Lbs: 
leargpestseamigite a. ieee 24;" Lbs: || Latvest-ldse ene no ee eee cre sae 
Smallest gain. 2... iws ee. st 00 Lee esmaallostiocess sme ee .50-Lb. 
SEALIONar yy by hace Late Ge nm ae 2‘ | ANot weighed yaece-, a.m een 1 


130 Patients WuHo Stayep 90 Days or More 


Condition on Discharge 








Condition on 
Admission Appar- Tene 
Arrested jently Ar-|Quiescent| Improved a Died 
rested Sa he 
Tnempien til are eect 34 2 19 12 1 0 0 
Moderately advanced 47 0 2 34 10 1 0 
Far advanced....... 48 0 0 10 17, 18 3 
Acute tuberculosis... 1 0 0 0 0 1 0 
Totals yh eet Lot) 





Toran Numper Days, 22,733. AvERAGE Stay, 174.8 Days. Lonerst Stay, 464 
. Days. SuHortTsst Stay, 90 Days 





Number Gained Weight, 107 Number Lost Weight, 21 
Average, gaim.....5 06. .\e0 et. 1402) Lbst ) AveragelGesieuaas. )sqmnue 8.01 Lbs. 
Lar gestiralns Wiese 2 sceay 45.50 Lbs. | Largest loss. . Ks Feta ees Oe GRS ORS: 
Smoallestigaing. vcd, 1h. waekee one Smallest loss................. 1 Lb. 
Sha tiger vite is cuir Midle..0 ieaereeme 2 





Negative ee oe Se Ae a a arr e  c 126 
Previous only.s.< ne ask Oe 68 

Positive; Previous and during residence............ 5 
During residence onty.e. sve ae eee 2 

“DO taL sco tie ale see pete te oe ne a 201 


RESULTS OP SPUTUM EXAMINATIONS 


Negative or'no, Sputum... 2eo4he ce ata ice eee 90 
On-admission,’) 4). Bo ce ee 106 
Positive, During residence, 2ia ds Reese ae ee ceaenee 90 


LOn- dis¢harge sti. vee nee ERM Vet 76 


Tur Norte Carorina SANATORIUM': 15 


COMPLICATIONS 
INCeTtIS A See era see uals 2 Elenvornioldsten cee ee 3 Oaphoritisi te: say |e 1 
Alveolar abscess.:.......... 5 ELO OK W OMIA Wueerareen a ener 3 Oech Tig. 25 Ae Wena! arene 1 
Pare ots tar ak, Jans ooh ead Waele AoW Wyperthyroidisny. 42. 2.8 us Peritomrtig. ssh 0 le llaereny 1 
Oe PETICLETUIS 5-5) dattacn ets 2 TAY TOS Sala buen aed ee 39 Potts disease soi 0.0 a0 ae 1 
PREP PITIS Fpl io nispvore onus ok ena 3 BLO S Wee Aeneas, oenseelaieihcrs su cate 4 IPE OMAN GYAi5 os. spats sets Ree 1 
ES Lod 6: GA ae ae A 2 IM GIN ILISe tonaeteas dns kee il Py Orr eau, aa ileus tae 1 
HELOMEMMUIS ee Meet. we stsaraet tia 3 MelanchOli, uo ean aa ek 1 Spontaneous pneumo-thorax 1 
Broncho-Pneumonia ....... 4 Mitral regurgitation......... 1 Tibsalitracture:s yee ie 1 
BESO VOLL eter inci sricas eid 2 15 Oro bINISM (es dcesle oes 1 monet tige, Vcr. 2 aa eae eae 4 
Gall Bladder Disease....... 1 IN GD ITEIey <7, cuanto alee 8 Uleerated cervicitis.......... 1 
ACCC COA Re ear neane a Gi Mils MCCA ters aa ott See Varicocele Jia.) oe eee 1 





SEX, AGE AND CIVIL CONDITION 











AGE Crvin ConpDi1TION 
SEX 

8-19 20-29 30-39 40-49 50-59 60-70 | Single | Married |Widowed 

PaCe mets he. ask 80 12 26 29 11 2 0 3D 42 3 

Memale ul! 0 16 55 27 14 9 0 A4 61 16 

Ebvo tallies. he 201 28 81 56 25 Vi 0 79 103 19 

NATIONALITY 
AMBRICAN, 201 
_ OCCUPATIONS 

Auto salesman.............. 1 Employees, cotton mill..... 16 IMaMISGED hye seer Meee 1 
1 ENE SY Cen ate SA A ee 1 Employees, hosiery +e Uy, 5 Nurse, practical: 2i99. .ons. 1 
Bilaekemith s2:<.: elects. 1 Employees, tobacco factory 1 Painterncen sy iicaioonnes Lael 
Bookkeepers’ (ae0 Ci ..k se es 2 Harner s esis itl. i oekitne ae 19 Policemany tcc: see 1 
CAT DENLEIS es os hou eioes ee 5 Classiloweranwaecese tae: 1 Railway conductors......... 2 
Ob aidteure mane Yo pe ee eee 1 Housekeepersieiicn.Qieth ees 13 Railway brakeman......... 1 
GChildreneir aun te ie eee 2 Housewlvesweaateeaee eee . 64 Stenographers............... 7 
lenis: 1M OlnCees py, a5s eee 11 Matlecarriers\aieecuen cay 2 Studemtan we wien ae 13 
Glsrks imvshores.4 viaass ss 00. 4 Merchants. svakeae. sue a Teacherss vam. oe eee 6 
Wawelab Orers.cus acsdscatse ons B Malliioremameennen at eon 1 Telephone operators........ 2 
IDSs bevel Wake wane ae oe 1 Womens ape weir ® fonts cep ees i Traveling salesmen......... 4 





16 


Report, 1922 


COUNTIES FROM WHICH 201 PATIENTS CAME 





Gartereti ear nace Meee 
Gaswellititwacnw rer nee 
Gataw b dakar ianterae semen 
Ghathami t.tcnecentoe ete 
Cleveland icneyieteidacetents 


Hdgecombem ewncca tee ceniens 
Franiclinaemcasracker nee 


Anilanidens; asia cpmmtinere tek 
Belmon teenth ese eee 
Benson ise ee eee 
BiSCOG Weis x-fi srs. Aeterna 
Blowing Rock.s one. eaeneer 
Boardman aun, soesrse ae 


Brey ardss.cictre ie eee 
Burlington cae mene cir 
Cad, Kop, Sas Ot ni een 


Cardenaszcansce snes cme eee 
Campo Bello.......... 5 atsge eg 
Ghapel- Hill A ieaeeaeee seed 
Charlotte.) tesgepemere Gakic 


Bray City 00) Saat) ik, ee 
Par areilic Hiram isapee urate 
Bavetteville; <.)) osu weeeeien 
HP OWUMOBKS cle) wee eens 
Huquay Springs ee 
GArvVsbUrg see, hielo aerate 
SF OLISDOLTO, cvs Akasa ees 


Forsyth 
Gaston, 


er 


Guilford. Woh eee eee 
Bealifax. cecdtynccsss eee 


Hoke... 
Tredell.. 





Orange 


Hickory 


ee Oe eC ee Y 


Pe ee 


Mecklenburg soscee eee 
MeDowella.. sae 


= 0 eos bie 6 6 06 6.5 6 © a me eneie 


a 0: 0 06 0 0 00) e 9 a0 Vanes we ® 


pe © 26,.0 0. .9:\s. eS ef¥ 918 16. thie) 0) latallo 


Cle pre 8 @ 0 96 0:61) © bw miele a (ere 


High Points scccag sede See sen 
Hope: Milis o9) crea. cee 
JamesvVilleuS staan ee 


Kinston 


FIOM sagan: snes ee 


Laurinb 
Lenoir. 


ULT $20, i ieliok tekeuauelio lene, oheketeie 


i 


exingtonl eh wares hee eee 
iM emtOrd Aaeaien eee caer 


Mebane 


eet w ere ese seer ese see ee 


Ce Se Oe ed 


Morehead City. ..ceneaees 
Morganvon cen eesti 
Morrisville. 305707, thc earns 
MEOUUNIE CALTAV age eee 
WU iroypnanH OMB. bina s ccab Goo oc 


Morven 


Raeford 
Raleigh 


ey 


ee 


ee ed 


Ce 


RIAmseurinecceheeeee eee ete 


PersO les Geren ene ares 1 
Patti ee ene eee 1 
Pole: “Rees See 2Z 
Raridolphe rs... oe sera eeen 4 
Rich mondueccrcic 1 Mente 5 
RODESOD) w.cecoe cite cai eae 3! 
SAMPSON yasneRek eee eee 1 
PCOTANG wij mnicnkisina Heemaead 
Stan Vise Melee eee 7 
SULT EY eee eeasvars weenie era ere 7 
Dransvlvaiielene se eee ie ee i) 
RR yrrellsco tee cen cc Ee 1 
UNTO Re ore eee ee one 1 
SVieill COM St tay ae Hin ete 8 
WiRIKORS oc St ties senor em meters 11 
Warrenton srr L ere 1 
Watauga snap nc amis nana 5 
Wainer. sas amet eine arate 12 
Wilson 325 one ace 3 
YAU COV epee pariaehinae ae 1 


Ria ndlemia piensa ante 1 
RGVETE sO), vas aracatenteaieee i 
5) 086) FUE Rosh). a gt ae 2 
ROanokepl. api Ss sees 1 
Robersonvilless sede cscs cw 1 
Rockingham ss...eee tee ae 2 
Rock yahloOun tae eae 2 
IOSCIMAT YY. aon th Uae 1 
VOXDOLOs rasta cui ace 1 
Sanlorcdien maser tae eee 3 
Scotland gNeck eat ee eneee 3 
SGVETE ODL ES somes en ane 1 
Bhelby i. ass ac tate 1 
paler City occheeas «egies cian 1 
SrMithneld sO... dasbinees 3 
Seutherny biNeses)-eeemrene 1 
Spring Hope 2.2 o. eeaseae 1 
State Road.to2).2 a. sceaeeere 1 
PIROCIND TY ot old werasia gees 1 
Statesville... °. «semeaepaed 1 
‘Parboro. i, oc. .c etaen eke 1 
Wineland ie, <.:..05,cumewwn ede 1 
Wadeville.2) . 05.4 Sean eas 1 
Wake Horeste secrete mae. 2 
Warrenvoliser. cates cen cans 1 
Weldon 22-.eee oeehe ch aoe 1 
White Plainsiscere see. hee | 
Whitsett? ay Aten ter cae ce 1 
Willow Springst 4. .gesseee 1 
Wilson's Mills sate ene 1 
Wilmington <...scenee ee 1 
Wilsons... eee eset 2 
Winston-Salem.............. 3 
Yancey villest..0 renee ce 1 
1 Zebuloh yy. nese ee eee 1 


Tue Norta Carorina SANATORIUM Live 


LABORATORY REPORT 


0 STS 2 CUO MMS RESP MARR ct) 8 AR aS 1,309 

egg (Chem ee eels tA pea WAM eRO AS udibiny aa CAR ke hy 20 
: p VOD Soe RRS SAS AE ge RRR Or) PE a i ODE OE ee ae 553 
Urinalyses: iho mre ere te ee Bas 
Spee TREE es ain a as os DROS ew tph Rid awe smn nla saeesew cole 1,596 
a Me OC SS oe fe hack es ve lidlujaiea df o's BONA! One eee wee as 299 
fee Ine Cre Cee ee ts eee paid OMI hele Llores Fi3 
IE PM eb Cok A a. ny adel oaeaemuaa dc Eo tid’d etd 48 
NNR eee ec nah. ca Mb gilaigy e sinha wid adedarelgbarehGels a Aw anol dare 207 
ee POE oe es le cclale ns alely soe octAtuetbesoe.b0 oqnaraa 4 24 
2 AIO B.S, ARES RA aU 40 
Fee 6 sone: viewed eaten Ble cht Agha MIs case Sec odie'e 1 
eT eg oe ogc hss SByoc ee anata edge HUT ee be Wie sa wal 38 
Re ONE e EECA OCU I oa g 6 lcke eck 4 ps 4 cn euayn s wielie ea sueseebs dow ei gie 38 als ogee ties 5 
Fee ee 0g ace kb Soe ed OL Ak Ba sled hes AWA wk g Sle clase ade 6 
Su Ge, OER TERE OCU (26, Ai oa Pe 5 
IE ee MM OG Ce so oa ak Sleponedld vue Gh ayayadeemioss elk dea e avalerd Didier ame 70 
SVS UKE Ro 8. 5 RRS te 2 
SRP Lok AST) GAC. Ac eR  PR d e y tc gy 1 
eee i 0AM Se a as ek ce ee es elke ale Sink oid witels ewe baw wee 8 
se een tah tt ME aig EG alg avid older dicdd sce DSc bee aweleae. 2 
RO re a tes OOP. 2G iheie lac sb Riv die a sce dle dele ote eawalw eapeie cies 2 
Peeieecomunciefor¢rieninblls @piralign joie a bleiaaaile hide dae cgdak ea. i! 


SM IOLA PAINE oko. Th dG ls he Peek Sl beac a 8 wl oa vg Odd als 5,480: 


LITERATURE OF THE BUREAU OF TUBERCULOSIS OF 
THE NORTH CAROLINA STATE BOARD OF HEALTH 


TritLEeE oF BULLETIN 


Bulletin No. 61. How to Care for a Tuberculous Patient. 
Bulletin No. 70. Tuberculosis: (A. M. A. Bulletin.) 


Bulletin No 92. An Act to Prevent the Convicts or Prisoners of North Carolina 
from Contracting Tuberculosis. 


Bulletin No. 129. County Tuberculosis Problem. 


Bulletin No. 1000. If There is to be Democratic Equality of Opportunity, 
There must be an Equal Opportunity for Health. 


Bulletin No. 1001. Murder! (Perfectly Legal.) 

Bulletin No. 1003. Fundamental Principles of Public Health Nursing. 
The Next to Go. 

The Story of Four Generations. 

Is Your Muffler Working or Your Cut-out Open? 

They Are Dead. 


The Incidence and the Importance of Pleurisy in Early Tuberculosis, by Dr. P. P. 
McCain, Sanatorium, N. C. 


PERSONS FROM WHOM DONATIONS WERE RECEIVED 


Magazines and Clothing... MissH.M.Curip........ Amesbury, Mass. 
Vike. F.C, BRUSH) ae Chairman, All Souls Church, 
Montclair, N. J. 
MR. Net Coin ne eee Raeford, N.C. 
Children’s Clothing. ...... Mrs. J. D. Armstrone....Pinehurst, N.C. 
Victrola Repairs, ... 3.5.2. Mrs. WM. B. Marri. ...Pinehurst, N.C. 


Sunday School Literature... Miss Gracr McKinnon... Bennettsville, 8. C. 


Piano sree eee: Miss JoSEPHINE E. Cuapin, Chairman of Committee, 
Pinehurst, N.C. 
Mrs. W.B. Merritu......Pinehurst, N.C. 
MrJ1cC: SLEDGR Ss ee Pinehurst, N.C. 
Mr. Leonarp Turts......Pinehurst, N.C. 


OVS. NMaDkes Vea suet ener Mrs. Reps Hitt Surerps. .Scotland Neck, N. C. 


{18] 


ORGANIZATIONS SUPPORTING PATIENTS 


No. of 
Patients 
MUbereulosic AssOcIaAtiON......... 6. <0. 60: Eendersonie Nei Gc ene, 2 
Ret mre ue) Pu. ae ya dey « Kuiistonia i: Ore eit cc 1 
ienomocia Association...) 22/548...) Goldsboro,"N. Of) 0 0... .. 6. 5 
Presbyterian Orphanage................. barium. pprings INC). a: 2 
Red Cross..... st) Shae akis ATO Naas i erelerson, NY Cre. y). SA en 1 
RIPEN tated is 5 ew aacecn a + Wallace iN. Ogee ies tie 1 
Tuberculosis Association. . : awa keomeord, NS Girth rat res 2 
United Daughters of the @ontaleraee daw coe SHR Pe Cac tingal 8 iks 1 
ey O00 OOS ep TARE ODay cine ee ale Ae eur 1 
Board of County Commissioners.......... Pasquotank County, N.C.... 1 
pM POO COMPANY 0: .6 cc. sce es eo Wananish,sINinGeieek 6 vc ace des ik 
Seo Ta AGC bso) hl ll Burlington, Ny Cees kak as: 1 
POPE MOEMNA A eas. eo a ee vs Roanoke Rapids) NOx... 1 
Tuberculosis Association......:..........Burlington, N.C... t 
i peeemlonia e-cgeieion:.... 2) ..41...../Hiekory, N. Ginn. . ce... 1 
Board of County Commissioners.......... Richmond County. i... Me 1 
PE mereniocise eset an. oo... Ss. vas. -Statesvillé, Ne Ciegy 6. 1 
Tuberculosis Association....... Beaded el 0 ANY fea Oza h de id Re ey teal 1 
Golden Belt eee turins Goinianvs! merely Chee nw hese goss 1 
Red Cross and Tuberculosis ees eo OUIE LAITY. Nein ile wigs tears | 
Jefferson Standard Life Insurance Com- 
pany, Tuberculosis Association....... Rosemary, Nie See aoe 1 
phim eu ei rensirer. 6.) a. ki es... eel: Church of Oxford, N. C...... , 1 
ERE RO Me CUT drab. i Ee so Gi sland be Dtatilys COUNT tase eee 1 
Pine eOOL (Or: WIE os. ws oes as alee win. Olea 7 ne: 1 
MW ulercmiosic Association... .. 7.i)..neo.s 2. Greenville; N. Coo. od. iL 
Popular Fund..... ne Oe ED rN SSlisbtey ye N Ol, bu.) eatin i 
Public Health Department......:........ Wiliramneton Na Orc arenes 1 
Pema zom Coutom..WULUSi Se cede ie k's ‘Chotmae ville Nea) ke ok 1 
Petar Ol Ol) OWEN. S\C1UDS.. 8 i wet ee he ate a hs he Mele adele ep a 1 
1 


Stanly County. AER ee RE) EEO a ol A Arc a ins URE PRR Re yy eA 


{19} 


FINANCIAL STATEMENT 


BALANCE SHEET, JUNE 30, 1922—ASSETS AND LIABILITIES 





$60,395.02 
167,358.65 
652,422.13 


$880,175.80 


850,793.45 $880,175.80 





$125,833.33 


48,656.88 


ASSETS 
Cash in)Drawer? . 5.2.0. URS. A ee $ 2,420.45 
Cash in Page Trust: Co.) (A berdeen)..’. Sa5 se ee 46,768.20 
Cash in. Page ‘Trust'Gow (Raeford)? . 922.55) eee 11,206.37 
Balance due State appropriations, permanentimprovement............ 
Inventories, Schedule 3... U7, oy ov ee eee $85,656.45 
Fixed Properties,’/Schedule 2-00.) 5) eee 566,765 68 
Total assets.u).... 5 sack 2 A ee 
LIABILITIES 
Overdratt, extension’ fund > 00.002...) ee ie ee BOY 
Outstanding vouchers, Page Trust Co. (Aberdeen)........ 26,025.24 
Outstanding vouchers, Page Trust Co. (Raeford)......... 3,159.61 
$29,382.35 
Agsets.in excess of liabilities... 7s. 0, 0 eee 
RECEIPTS AND DISBURSEMENTS 
Seven Months Ending June 30, 1922 
RECEIPTS 
Stare APPROPRIATIONS 
Permanent improvement 1und.{s<4:. ye) ee $85,833.33 
Default of contractors. 1.3306 eee. eee 40,000.00 
Total... fos) eee ne ne eee 
SANATORIUM EARNINGS 
Board and treatmeént..,..30. DNA... sea = eee $47,501.38 
X-ray exarninations.. 7008 fee eee Cee ee 1,155.50 
Wotal ee. cen od ou Oa a ca ss a4 ale See ee 
INTERTRADING ACCOUNTS 
Transportation ‘and! drayages.. ess.si nee 9 15110 
Laundry. 3 Pshire alts SR ie ace ree 1,025.99 . 
Hospital:supplies. 1 s..2/5.4 one 1,038.17 
Telephone and telegraph<.7 794 scien | ee ee 93.79 
PrOvisionsay, Peg hid ee one ee 494.71 
TTS vesicle suede saa avede paalae shetall ce Gee eee eh eee een ee 273 10 
Dairy 2 ahs nite Gia gdactateamend bat ce hob: bot i Mme Cenc eee 1 et een 124.85 
Miscellanicous, oan cc... ae ae te ee eee 536.68 
Total 


2 8 (OS (er 6) © (aie: 6 8; fe'8) @ '0 fe: & fe a0 je 6) @ Te 6's (ene) © (0, 0,10) 6) (6 0) 08) Ob 96lle) bee Sse) lene sre me lnieme 


OCDE ©. Oe 6 O86 one © ww) ‘ey (0; 6) Tele: Te ie tee 6, 0) e) e107 18) 6 16) oO 10:18) 656: +6, 6) 01) on He ela om eee 


[20] 





3,738.39 


$178,228.60 





Tue North Carorina SANATORIUM a1 


DISBURSEMENTS 


State Sanatorium Total 














PERMANENT IMPROVEMENTS Fund Fund 
Equipment and repairs, old buildings. 0S. $ 19,031.37 
NEEL 20) S35 800) GL) 40 a a 1102130 
Dining malwend Kipchen. (NCW )% vécsas o..s(cs sa. 17,475.91 
Assistant superintendent’s residence.......... 8,245 99 
meroweriouse apd laundry. 2... ca. ee ea ecole 4,897 41 
Te 8 UT ee ten 0 Py So Si aces a re 2,154.17 
Be PMN E EM CTO Sten ela Si wet esse vi acs o's 5's eee 1,821.10 
Servants’ quarters and equipment........... 5,746.35 
“SURI Sen DENS ge RRO ie ae pn «... $70,393.60 
EXTENSION FuND 
PS 8th th 0 9 ee er oe a ar ar $ 5,980.00 
PtaWe NOL CXPORECS cach oc Fu eet ve be ees 1,493.96 
Peer rern Ma iXtUTes, a sieht... cs we eee 108.57 
Peter Ses onery <. 4) Oe Reece ok ea een 667.98 
BE hee re Fae, Orie 486.29 
CONE Feo iy 0 Ds cs Dh ee oe 13.20 
UTM 20 cee gmk Bp ILE th alee a ei es 8,750.00 
MAINTENANCE APPROPRIATION 
SALARIES: BAGG Slee 6s Wena. Genie Sieuethe' a «ae $ 4,814.78 $ 18.30 
POUL te... ad ais Laon: 1 Oho Ra gl habe Ween wes Aa 
Nurses and attendants........ 3,141.01 Boeke 
Cooks and servants........... Tr lio.ao 158.64 
SINS ESP Seeiters Cae $ 16,727.45 $ 206.11 16,733.56 
Suppris: Bec OIng ANG JINEN. dark use oes $4556.93 $1 M3315 
Crockery and silver........... 213.47 725.20 
Drugs and medicine........... 300.02 1,208.48 
WAR SCOUGTYCOUS ssh hci loa.g Caverhisie te 1,927 44 2,309.25 
ote sina. hie ORL ee $ 3,033.66 $ 5,574.08 8,607.74 
OV ISTONGG TUMOR LGme ig Nt Fe Mc uihy wk ay aaek 3 ag $ 2,605.66 $ 4,184.13 
BG plete Ee: hn is ate 713.94 | 968.53 
LP Ced Piel OU oo a ee ae aw 1,316.60 3,559.95 
Vegetables and fruits.......... 1,031.13 1,178.64 
(GPOCETIES ett 46 ois ae GANT oe 2,488.59 8,657.94 
MArSCStlaneOis tari: Seek ee Cee ese 14.25 
SUL 1 ec Re ee a eR aa $ 8,155 92 $ 18,563.44 26,719.36 
Equipment: Furniture and fixtures......... $ 1,041.74 $ 749.30 
IVigtrUIMenteene 7 snp te Sets 657.93 94.76 
Nigécellan Cougs tee since ed pact a ts 46.47 22.11 
LOCALS hla IORE EERE 8 $ 1,746.14 $ 866.77 2,612 91 





Carried forward =. 25... : CW os ymin Reg, oa eet ee $134,017.17 


22 Report, 1922 
DiIsBURSEMENTS—Continued 
State Sanatorium 
Fund Fund 

Amount brought forwards: ehres0s Guce ee eee OR pn” fr OME SN Te: 
OFFICE: Equipment, 6 wane.) 0 «sn isa kee ee 2.14 
Books and stationery.......... $ 19.48 177.90 
SUES Ae ea Res us ee 22.00 272 10 
Miscellaneotisiis. he scuns sions 223 92 48 04 
GIES. Fo cate: Sane Cae Nea $ 265.40 $ 500.18 
POWER AND. Labotee.. | se tee eee $ 1,139.25 $ 9.06 
HEat: DUDPHOS. 5c. s/s cae hs ae eee 4,856.32 7,060.05 
OCALCE ht sy ueerian 2) ean aaeme $ 5,995.57 $ 7,069.05 
Laur: Labor. Menor: cea ota $ 345.00$ 4.00 
Sup OMe Oy HOE aes anes aaa 476.10 ~~ 186.10 
POGELES. Sete yedicitean to ee $5  S2E10.9$ 190.10 
WATER: ABA 3) eee pn NE) Ire eb, ae $$ 345.00 $ 50.65 
Equipment....... oem 330.90 66.75 
Supplies... 6. Ve cera) ee 2 40 
AGE AD bons rcas chinensis a eme $2 B7O90 LS ar ALSO 
REFRIGERA-: Doaborewean che als ee ee $ 34500 $ 4.00 
TION: SHUDDER Ae. Susie wane tan rae, 168.38 79.63 
POUAN aro a oie oe .. $ °2618.88.9 83.63 

PLUMBING Ta OP acini « cle ear aean tem $ 345 00 $ 400 - 
AND Equipments ico aes ch). mieten de ake 13 22 
SEWER: SUPDieS. cre areal ete hee eee 3.98 1.64 
d OlGlLate caieal Oepenna alae $ 348.98 $ 18.86 
FArRMs: Repairs to\buiuldings.; 72.00 jas 49.30 $ 190.67 
Live {stack in, wheat eee eee 4.00 32.00 
Machinery and tools.......... 334.23 568.87 
Seed and fertilizers............ 2,622.79 651.99 
Heed, ak See a ee ee eee 61.62 449.55 
Re BOR. eRe tate de ea ci are noe LA 204U7 2,820 33 
Miscellaneoue sen Wr ris yt eee eee eee 91 50 
LALO naib ee eke . & 4,201.11 $ 4,804.91 
Datry: Bepairs to buildings)... 0.03. $ 3.00 $ ° 0.60 
awe stocked iia Wes a tee noe 167.88 1,192.18 
PAX tree alah". eee tae step, 94,72 50.70 
ReLENO, GENS CMa wh Mouoh CUMadM 5 Sy Et laNradd 3 457.64 342.04 
COREE iN art ie hae ee eee 780.06 2,910.68 
Labor. oe tes ria Sete nes 91136 90 90 
LOLS ee gi 0 A aly ae RP ae $ 2,414.66 $ 4,587.10 
Amount carried forward...) * cAteaan ta. Cee ere nee oe a A 
































Total: 


$134,017.17 


765.58 
13,064.62 


1,011.20 


795.70 


597.01 


367.84 


9,006.02 


7,001.76 


$166,626.90 


Tur Nortu CaroLtina SANATORIUM 23 


DISBURSEMENTS—Continued 








State Sanatorium Total 
Fund Fund 
PIN GOULG LOE Nb FOL Wat Chrerd ware 2 yee ks bis. 58 dine a «wae: if east oh ipegee "er $166,626.90 
Miscellaneous:—Training school books..... ere, $ 11,24 
Telephone and telegraph .. 94.70 236.98 
GUM Gyan oh giecits 66 oe 1,351.47 1,844.59 
Transportation and drayage 983.54 1,008.37 
ARvevi i sate Me is here BA led ata eee 186.59 943.64 
Freight and express........ 185.70 1,142.90 
OP AC COUL Ts ceetsn ot ee co 161.14 759.22 
TAY SO eta Mey. Rene 1,235.18 284.30 
THAGGA De Tema ener ait ewe etc elas 16.25 
Egboratoryen.cueee : fee 485.74 99.27 
UNCUT oN 4G 8 Gets SaaS a $4,684.06 $6,346.76 $ 11,030.82 
Moa MeIsOUTSCIMENLS. .. 6 6 oie Pans dc kn leek deny des » Dd 177,657.72 


GENERAL SUMMARY 
Balance December 1, 1921: 





Sees MBI ee rs ss Ste ioe eb ae bake $ 1,583.02 
Cash in Page Trust Co. (Aberdeen)............. 45,392.69 
Cash in Page Trust Co. (Raeford).............. 9,176.58 
MN ee Sa reds a eee $ 56,152.29 
Outstanding: Page Trust Co. (Aberdeen)..... $21,756.13 
Page Trust Co. (Raeford)...... 597.26 
ee a ee 22,353.39 
iiespalantestseccmier 1, 1921) ok. ee es stare eee ese $33,798.90 
RECEIPTS 
POGOe a tOUSs Ma vateiue od Bifghidiee Mile tbh ya toe $125,833.33 
POatanatcistreauinent:.. ot cata kye od Tae yee 47,501.88 
Pritcroracding accounts, . Ay feeds. Si cain 4,898.89 178,228.60 
SOE OLN CCOUI) U LO lege Seer eh Mle De Pan tans OU NR, Syn ey Set rg $212,027.50 
DISBURSEMENTS 
Permanent improvements..................- $ 00,393.60 
Pees OLV PME MS for on es Pamir fae Saeade ek Uk 8,750.00 
EAU TOLLATICS oot oee Riera ee nt c oes Cesta ea 49,583.33 
Total appropriation, expenditures................... $128,726.93 
Wrenn LOnance [TOM scariMugGer ss <2 wee: os wey lah os AG saree 48,930.79 
OTA CISOUISRINCILSA. Ate + fae nin cst coe ate eee 177,657.72 





“Sy iced buat deals ae Once aE Nad RRS i $34,369.78 


24 Report, 1922 


Cash In" OFGCe .)5. cc's sc oe 5 5 SUR teem ae ete $ 2,420.45 
Cashin Page’ Trust:Co; (Aberdeen) )..c@. (ue eee 46,768.20 
Cash in, Page ‘Trust. Co. (tactord) a... ee a eee nes 14,865.98 
Total Oe eer eee rere Li 2 She Sey $63,554.63 
Less outstanding vouchers: 
Page ‘Trust Co. (Abertieen).. 7.75.02 ¢- $26,025.24 
Page Trust.Go (Raeford): sa..05 werent 3,159.61 29,184.85 
BSTaTiCe oe. 5 cece ae ce be do 0h 0 oe ee $34,369.78 


RECONCILIATION OF CASH ACCOUNT 
Seven Months Ending June 30, 1922 








RECEIPTS 
December; 1921 c-rereey ve Bose Tee.) ee $5,811.55 
Jamuary,) | I22snen OS 2. ce DSRS. cca eee 6,743.20 
February, LO QQ ere ses ve oes BEE hed ee 6,900.86 
March, 1922 ceiy alc y ts eden on 4 6 hoo en 9,055.60 
April, 1922 Riis co via oe whe eed eile es 7,475.93 
May, 14! 7). A CR RUM ee 8,606.05 
June, 1922) We gence a ble sGs Beles one ae ar 7,802.08 
Total recetptsics 6. sc. oo ck aan Oi, Se $52,395.27 
Cash in.office; December 1, 19212...7... 22s 5 1,583.02 
Total... Saab. on ks da Was 8 0's a ee $53,978.29 
Deposits, Pack Trust Co., Rarrorp, N. C. 
December, 1008 ae00.. ois kak en ae os Oe ee $5,000 00 
January," 192200... SRR es" cies < 6,504 37 
February, 1922. tiv.0.0 bebe Sada} non 6 ie 7,000.00 
March, 1922 oss e sa e E ee ale, eee ee 6,500.00 
April, TORS COO ooo decks Sinn. oul cel er 9,900 
May, 19D mtorr Fe a oe rl 7,400.00 
June, LORE gee 1k doa tans Woe bn ed se Oh 9,253.47 
Total: deposits. cisicie én o-+ aue sete vias) ee ee 51,557.84 


Balance in drawer, Jumei30, 4022). ...2 <s« 0d sce age eed eee $ 2,420 45 .. 


Tue Nortu Carorina SANATORIUM 


FIXED PROPERTIES, JUNE 30, 1922 
REAL Estatr: 


PLO SOLULIELOUNCS sete Sch tere Pe hte nie ae Tee $20,000.00 
OTC. obey A Ne ee SNR eae Samay Wea ne 34,750.00 
SUNN MES eI os ig cis sk Wanted oe tb acs the. 5 ch aera UMS 
BUILDINGS: 
CN ene eps 10 Cia ALOE a eh Pe LE $ 7,500.00 
Pie peoeere tacorititiy gee ke 16,574.78 
PERO MECLONUIOS 0 hee Pho Coe Tei aoa ebohdece te ke ite lehanste 12,000.00 
Paper Mbenucnt Siresi(ence.. fe .f. fa. cule cs bce ewes 10,000.00 
Assistant superintendent’s residence................. 10,506.49 
mAssemmy walland dining hall)... cc ee lek 5,000.00 
ining eel-atd kitchen (New)... 0.0.05 66.6050. ees 14,183.91 
FUN Ed Ray 208 <I 5 see ean oe One, 7,000.00 
Promimistration and infirmary... ....<...«......ss.0- 260,550.10 
Power plant and laundry........ tftbe OA eS S! 8,746.85 
Beara COLLAS 6g Ol ol clk nod de ie eco a duanae 15,000.00 
Pe TO mOUATLCIS 81. 12s alk «sav cm OeE aes thee f. 12,000.00 
Ree Cet ie cs eae no Oe 3,500.00 
Me Ta OCMC CEs ois ies orig sis be ee en ee ee 3,500.00 
OSTA) TEE SG EGS OR a a ha dr are 3,500.00 
ere eeen Ol DULCInea rr fee ty, ee 32,784 08 
Pe eC CCE Ah Lad eke ae e vig. ee 1,500.00 
Dairy, Batns, silos and bottling plant..............., “28,175.20 
owmersieamenent, WAtCT, CtC.. osc. vs. be ee ee ees 46,664.77 
Sewer system and disposal plant.................... 11,483.15 
Seren recs re mrt OO ten) 1,896.35 
Se Ce. FRA AT... are RATTRAY Stns el do Fs ca ce 
Meteo came cdnmroperties. odes sot ERIE AK de a oe ee 
. INVENTORIES, JUNE 30, 1922 
Partns—Operating account. ....06. coves cere ce cee $ 475.85 
Machinery and equipment:...... 0.8 ¥ah . 8.6 canes 2,468.45 
veh tere aes aa a ct A oC eee 1,050.00 
peey Operating account. ......00. oe 2,112.65 
LORS Ua Gey Bde AG Se A NORA RI ws soaks IAB a's aA 15,450.00 
ve QOL Ae 5) 9 9 Oe SC Pe B20 1920 
Furniture and fixtures—Hospital................00.000. 11,240.50 
Dining hall and kitchen.......... 3,451.35 
Superintendent’s residence........ 1,986.74 
INTIEBCS TORE Hae vo capes sake d. 1,050.00 
SMES AN CCAD Cas acti i real mente ake) RA os age 6,786.17 
Be KOE VBI SLLVED Adee koe WHERE Soke vk ER hee ieee 895.73 
PPRIe SPAN INCT ICING: ns conch Coen the es Ln serrate Mala Uae 2,449 50 
RMNOMISECLISU DD CBee vax tits scice Shaahe cs Bate enon bey weer Sednene 7,631.83 
ONS SOEUR Bow en Ries RRs «3 38, COAL EG PUR 2,568.85 
Pe aN e SCHOOL DOOKS or aa Wad Gece mcs ka sc: Gere PORN «crete 198.16 
CET ONES CoulIO il. Water. /CLCs..7 airs mica Wis «noes ete nh dee 2,343.13 
LD YBa SE ga TE GSN. a reels eae ah th Re SN AR > 135.00 
FO TIC OLED Des MOLISIN ORS aan, btrin Acer eae aks oat ioe Treen 237.00 
GCereaiPIMiOlG (DUSINESS) a. tertis Sak ee ciel hc wie doers ee 392.00 
OMCo DV OS A CXCENSION) Cio. akincecn Hue A eek Re we ANT Cie 
ICE eOUIDIN ENO eS LCD SIO} )4 10 mere ek etre ove has Rn ke 4,095.68 
Laboratory and medical office equipment................ 11,265.46 
PUTAUSDOLLALOl ANCLOAEA AGE) fe. ccetcea eet 4 clot etre ok 1,504.10 
PEGIODMOUELSVSLEU wre ein ee gemini eee ee Maen Caan ne 1,500.00 


$566,765.68 


25 


$54,750.00 


512,015.68 





$85,656.45 


26 


Report, 1922 


RECONCILIATION OF BANK BALANCES 
December 1, 1921, to June 30, 1922 


Pace Trust Co., Razrorp, N. C. 


Balance in bank as per pass book 


Deposited during period 


Total to account for 


Vouchers outstanding, December 1, 1921 
Vouchers drawn during period 


Total disbursed 


Balance, June 30, 1922 


Balance as per pass book 


OOO 0 Oe le VS He ).6 0) 10 CP HOO, BO) LO RO Eee a ee) elnelbe Ns Cielo! ag 


© 8 (0 V6 Je 18) ps We We (0b 0 oe (eum UO jeige Ke wee) bel ue) de ge \isive Ee sane Leu ok oh 6) sur came lam ene 


2 5 STR ee ee $ 


a ee ee ee Cr ry ee ye se te Ce BRS 


00 © © ee 0 6 0 6 e © 0 1e £6. Je joe). 6) Ker, 6y oF 0) @ 0) Le) RAN eMe dw) eur enie le ne) 6) 10 


PP ce eA $ 9,176 58 


51,557.84 





597.26 
48,930.79 


a O10 eo ©) 6 0 0. t,o) 0 6 Ke Us le (6 se, fo .o ee ke Me isihe U6 ge jo deme ie Wel he, 4e Os Pe hes en of (6) sae 6 50 


CO $ 14,315.83 
50.15 


Returned check charged in error, June 13, 1922...... stint 


Total 


@ 1p) Jekjet ‘as &. Pe. 0: 0 eo 8 oe 6 Ie: eS Oe te le 10) ve Tate fe) © 6.0) 'e) ore mp) ele) ieee) 6/0) 0s: 10 e.0e melee.) (oe) esate 


6) oe is) (ee Kelle Ma ots wells, 6 @).e 6) eB 


OF 0G pet 0 le, 0! i ie fe: nen alle) «etal 6!) ie): “ey 6) 6 <8 
O10) opel Te 5) 1, vie) vel Penieu ner ek we) ©) se "9) fe a) 
916)" @ le, 6 30) ef see. Xe. fog eu emt) le 6) a 6 belie 
efejre' fe (6 56) ol ¥e4 ie Pomel ose ae! te Al a in’ 10s, 
@ ‘ea ho! je. es ghegie ie deijen ion 8) -'8) 6: 0/0) 'o, 9 
2 0°16 |e |e “el 6meieeyietaaas 20.0! wie 6 0.0 
© 0 8) 6m Oe fe) et ie lee lee Fe ie 0 © ¢ 0 8 
& 9: O16! ele We Ree Aone gob ve S81. '6: Vis) Le) neh 6 
©) @i:0 0) @ (0 shel be) login waten(e, © eel 10) ee 
©) iO) 0 ce, Ow) oh TOE io Tel ‘gs vere senior 'e @) 0) fe se 
Sp .0) sO “ey folr'e ey fel ie, bP gentet oc be’ (ee) ania) 0 ne 
©) 0! Gi (0 Fe! 0: Ast tale We aie? fom ele. (a 6) ) ielurl se 


io fe 's .6) 0) 8 hen femiey g0unel Vem 160 9 | eel elite me 


Amount 


Gia a7280 
3.53 
a7 
7.45 
5.35 
5.48 
3.69 
7.95 

1,443.08 
27.81 
18.18 

226.53 
56.75 
6.99 
37.50 
5.15 
785.53 
3.37 


© jee oe 9 eo we bps Bein Tate i/o Je iu: 


cshaaeseaes Bade so we sin whe edn «ot ee RR hea es 


3,159.61 


© apie (e) 6-0 We) d, fo. Ge. 50 ya Te ee Mele (6 8) «© 
@ <6, “op iso aw Ze) (Fe) ihe) SS) @, fe) 5) 10 (6! 0 ee 


O56, by 00) "eh 21s Darter iy Joule. auuergenieure is be, eo 


$ lel fe eb felis. Gene ite ee Sone pe hey ies 0) tet ene 
Bye Ce 0 50, 6 (eres [ed Te Miel Ta die, ce? ttle ey ie) 16) 8.6 
Oi,o Lei Je as ve Ue! (6) bv 8 ehep ohadeaa mt, Cepia 
© ge) felons, We Suere ae we Gal lel or Js) Senge 30 Je enieuie 
@ fe bho wee hah Se ress Fe, belo oho! Ieee wisins 
Ce) fe) (o5 BASE (Suis) 29-0) 8) w.16 o6 ge” eshe. fe) a: 
eee, o MON e Leer 6 era 6 (6 "8:9 0, \e| ae) Le 
Few) erie h @ esi ie esr eee! tel fe) ele 6 e seuhe 
a), wbivaysl ce ya pecans Us eM aph a) I Mevismie Ret aiieo to 
ee ue #16 |. eel epee eine) oA w lelietge: else) Sere 


6». 0. @ (0 30 ae Loylemie: Se he Re welga wiege & 


$ 60,734.42 


49,528.05 
$ 11,206.37 


4.45 
44,79 
55.30 
18.95 

3.48 
33.87 
62.11 

4,42 


$3,159.61 


Tue Norte Carotina SANATORIUM 27 


RECONCILIATION OF BANK BALANCES—Continued 


Pace Trust Co., ABERDEEN, N. C. 





Balance m bank Désamber 31, 1921...00......... ud wh $45,392.69 
Deposited Dy atate Wi reasurer.... oc... ee je hoe been 125,833.33 
Sie EMMETT COT oo) oe oy. /0/5,008 Co,0,0'0 + nk oak hk oe AMEE SOOT 8 ; . $171,226.02 
Outstanding vouchers, December 1, 1921................ $21,756.13 
Vouchers drawn Gurine period.....osaiils eds be wees 128,726.93 
eer BCs es 8 ciara) i ish ova, aves ote wleciicae ose ds, 4, 6 Se RR EAE . 150,483.06 
Beem 30 1099. kha su, oe anaeneaites a iter’ baie Vaten asiesth "$20,742.96 
BanK RECONCILIATION 
oe a eT fo ds coo c eres o oye tcdse odo WO gly eed 4 $46,768.20 


Wes OUIS(AO GMO NDUCHCTS. «occ de css s oso sas olen ogibenieee 26,025.24 
? Ere ec ee ws, ace oe, 3c, 5, «a ¢ RISEACDEN G1) Bild PAB  GLTIND Bles $20,742.96 


28 | Report, 1922 ean oh 8 


-- TRIAL BALANCE JUNE 20, 1922 -. 





Cr 
$712,619 65 


167,358 65 
197.50 


eee 


Surplus... esc Ween toys wr biel er oa bce ean te shelly Oe) 5 gee eT 
Real Estate:—Hospital grounds.......... i& ee Pode $20,000.00 
Cordon cottage: oss.ch vee ue pape RMT S00 00 
~Negro sanatorium: i. :...05 sto eee 16,574.78 
Nurses Dome. toi 4.0 can ncaa Hig 42s, Aalenes 12,000.00 - 
Superintendent’s residence................ 10,000.00 | 
Assistant superintendent’s residence........ 10,506.49 © 
Assembly, dining hall and kitchen......... | 5,006.00 
Dining hall and kitchen (new)2u.en omen 14,183.91 
Well-NO.-2..054 404 445 00 ee eee aoe a aed tate 2,000,002 2 
Administration and infirmary building 5) Paar 260,550 10 
Power plant and laundry. (new).........0--+-- 8,746.85: 
Flanagan: cottage. @... 05,2. s2 eee ane eens 15,000 00 
Servants’ quartefs oi! #22 :a eee oa Gets. ae 2, 000-00 
Nurses” annex.) 2 >>... dace ee 3,500.00 
_-Physician’s- residence... 0 eee ratetatate -.-- 3,600.00 
- Sunshine cottage...... tna Os WET Ae DASA «f= 43,500.00 
Repairs to old buildings ¥a-gr ancemeen ae 32,784.08 
. Farm, operating account. ....... tatets fete tate tetetes oot + ALONSO 
Farm, real-estate: os)... Seo ee 34,750.00 
Farm, machinery and equipment........... 2,468 45 
Farm, live stock. ce )0). cia ee 1,050.00 
Farm, residences 22.5 i wv ee sie ee ee 1,500.00 
Dairy, operating a¢count.A nae eee 2,112.65 
Barn, silog’and bottling planti eee eee 28,175 20 
Dairy, live stock. os... 7.3). eee 15,450.00 
Hog hecottit:) eyes cadet ane 3,257.25 
Furniture and fixtures—Hospital. .. 5. )-2%swes eee eee 11,240.50 
Dining hall-and‘kitchensg3 aa 3,451.35 
Superintendent’s residence....... 1,986.74 
Nurses’ home... > Pot. ae ee 1,050.00 
Linen and bedding. 4a%2)....c2k dae i eee 6,786.17 © 
Crockery and silverware CMs be Vdo vn es be Cate . 895.73 
Drugs and medicme..ikk'.. +... ees |e Bee 2,449.50 
Hospital supplies. ness 00. oo ee se 7,631.83 
Provisions, i, iinrcah siete Se Oe en 2,568.85 
Training school books:.¢4. 7) eee eee 198.16 
Power, heat, light, water, etc..(old).. ©. 44.cun ate ee 49,007 90 
Telephone system bE lew Punic PRG otk 1,500.00 
Dibrary. oi ore) sae are Oe eee 135.00 
Office—Supplies* (business)... 2... 2) ee oe eee 237.00 
Equipment (business) ..*. 7: ) 70a. eee 392 00 
Supplies (extension)... .4/sh50. 6 eee ee 1,111.05 
Hquipment(extension). 0.77... )0. 4. ee ee 4,095.68 
Laboratory and medical office equipment................ 11,265.46 
Sewer system and disposal plantiv, /...,. (oo ee 11,483.15 
Transportationand drayave.. ieee. oo eee 1,504.10 
Landscape! i). 5 es ee A Ee ee 1,896 35 
Appropriations wok 8b se sakes! 40! 4 lene 0, Suge, 4 ALOCHRAL ale Aiden iee ne Seana nr 
Permanent improvements sew. tse kiee tae 167,358.65 
Pxtension. 0.05.7 Ae le eee eee ee 
‘Page’ Trust Cosy Raetordweo.5ee oe oe ee 11,206.37 
Page Trust Cos, Aberdeen? abe. de. seu 0 ee 46,768.20 
Cash. 42 enue yh LE cc Sise et he Ned Makeha taal Chae ae 2,420.45 
Totals. cote te teat ann Lice se nee eee $880,175.80 $880,175.80 


TENTH ANNUAL REPORT 


OF THE 


North Carolina Sanatorium for the 
Treatment of Tuberculosis 


SANATORIUM, N. C. 


FOR THE PERIOD 


FROM JULY 1, 1922, TO JUNE 30, 1923 





RALEIGH 
EDWARDS & BROUGHTON PRINTING COMPANY 
1924 


Weal Ns 4 al ea 


Ave nity Ant oc 


Matisse” ping 13 ; 3) eae 
PA eth oz : : aa rey a 
yo iv ehy eh RGR og? oS oe ae 
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Sap erme ¢ ; ks he 4 sar ~ ae = hy . 


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Saaptsy, ¢oed, Re Oe - Re ae 


hiv igo ce Keep aaes 
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: 5 ‘ea me io : pt ee 
fate tea Bi oe ieee 

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i ve i cere 5 wit potato nae: h 

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+ SR Ae eh a pigs Wins 

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bibs a eae 


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TABLE OF CONTENTS 


Personnel: PAGE 

Ror ICCC OG rane) eee eee eae cee eee 2 Sen oek 5 

Pee beisinommepariment. 9 so. 22.8 2 ee ee ee Le en ete ORL wes hcl {© 5 

oaiiogte: ETO] SUMING Ee iy 06 Sg) RM ot Ql a eee a RR Nic Ok il Pee i 6 

Directors: North Carolina Tuberculosis Association..._-_-_..---.------ 6 
Me memes bolle oo Ce Sek ee oka sl Be ke BP. Sear r 
eer ae yee eee re ee he eR PO 2 he ewe ee 9 
en mm Crt sa VOT Kes Lo. te eh oe Pine, eae 17 
Procieal sHeporhe 22-2. -- 220 feel Ee ales An ae MOON BY MMPS th fi tS Ta 19 
Mees heroureau of luberculosiss. 120.5220. 2020-0 ob ee 30 
Persons tronmmwhom: Donations were received_.. ........2.-.-_215--L.4---- 30 
Pacamivamoven-uoporine Patients. 22 202.) le Mss deee k e 31 
Report mn mn he Sea eer eS ee ee be et ee a8 
rnin @ertemient ot hire Loses c<252 ese 284 SO UU ee a2 





NORTH CAROLINA SANATORIUM 


FOR THE TREATMENT OF TUBERCULOSIS 


PERSONNEL 
BOARD OF DIRECTORS 
eet LONG AC RGU Marek es aoa eS ke Roanoke Rapids 
Memo, spence, Vice-Chairman. -...2..22--- AG Ns. Gp Oe ae Carthage 
eG rete rLARRISON, SECrelari/ere mia oeee tty ooo a Rockingham 
See Chere lOUT a ola. oo owe doe. oe eek Duke 
Meee en ASAVIEITS ose cet SAK nt SAR Oo SOE -_...Whitakers 
Ae E MOM AS ye ae eek ae ek __Raeford 
Nitta SH JONES... .. hE LYE), AIAN Te as A) ese Sanford 
Mita aus ORTTINGER 0.2.30. 0..-- Wa EES Sg AMER ee Wilson 
RIPE treme ee ee Charlotte 
ee rrre Nel tar ee 0 ee L. B. McBrayer, M.D., F.A.C.P. 
Assistant Superintendent and 
rictGn Viemicnl oervice:. 2. 2 2b) fo ke PO Py McCain: -A.B,, M.D, 
Piper \esistanu bnyercian: 22.022. cell sll 8. M. Brrrincer, M.D. 
Clinician and Director of Laboratories___._-_._--_R. McBrayer, A.B., M.D. 
eetoeuet yeleriiee. ot SE al. J. H. Witirams, A.B., M.D. 
ern lor nee eee ne ead HERBERT QO. SINK 
Private Secretary to the Superintendent_____.___Mrs. H. O. Sinx 
os gcc DUPE pi i ie (0 a AL hee Miss Loris HuNEyYcuTr 
ee aie GCurciniy ss) £ O72 See oe ee ok Miss MaupE MAnn 
Pipemnienuent. Of NUTSeS. 22 S22 SSR wa. wl bo Miss E. ConNOLLY 
Assistant Superintendent of Nurses. ________-_- Miss Kate SATTERWHITE 
( CONSU CIE aL), & ins AS 2 amg i enka SD F. L. EUBANKS 
AOS WE Coe, cteng til SIRS Se Ee ete nC A ale F. D. Crirr 
Pe ria LAT Oer eae irene eee USI Te On Sd L. B. McBrayrer, JR. 


EXTENSION DEPARTMENT OF THE NORTH CAROLINA SANATORIUM 
FOR THE TREATMENT OF TUBERCULOSIS 


PP IRC CLO EN wee PAG Ree ee aes, Semis I.. B. McBrayer, M.D., ¥.A.C.P. 
ert cee ee ek ear ea rn SNe. Dai G Arn pAn Berea 

Berra er uigame so oo See a a ee oo et Hersert O. SINK 

Pnar CAD iCl sab rentnk: shai eae ie ee Rel Wh 8 Mrs. H. O. Sink 

ey WSO ON OLIN “nae se. oP A Rog a EMER Se Oto CSA Dr ke eve A Mrs. C. W. CoviIneTton 

TOU TAG) mite eee ot AN oe ee eke Mrs. J. H. WILLIAMS 

SP LeTOUTA DUC! s theree tae ee ONS al ei ae Ot Miss Srpyu BRABBLE 
Stenographer and X-ray Technician-_----------- Mrs. J. L. SPRUILL 


Director Organization and Education Among 
the Negroes--_-----. ha i aa eae ees eae FLORENCE C, WILLIAMS 


6 AnnuaL Report, 1923 


CONSULTING STAFF 
L.Dry,Gio:W .PRESSUY. 2 22 acu) see ae ee Charlotte 


Surgery. ----2 UDri J. BP sHicnswirn ve ae eee eee Fayetteville 
Eye, ear, nose;) DR. Jas) MVLILiyi St 152 oa eee ee Fayetteville 
and throaé: ..\ DR. WMsS./ JORDAN) [22 2 eee Fayetteville 


G ato Tuy Yr fDr. A. Je CROWELL ee ec ne ee ee Ses OR eee ee Charlotte 
7 ONO INET) Tyne dL), LLIGHEMY tH Vpn Mey ue eee be Fayetteville 


Pathology -_-- Dr. Jas: Bo BULLIT?. 2. 2222 ee Chapel Hill 


Pharmacology -Dr. WM. DEB: -MIAGNIDERC. = eee ee Chapel Hill 


PERSONNEL 
NORTH CAROLINA TUBERCULOSIS ASSOCIATION 


Mrs, Gorpon FINGER; President, 20.2) Jone Charlotte 
Mrs. Cuas. R. WuHirTaker, Vice-President... ____- ba ke ind ote nb Southern Pines 
Dr. L. B. McBrayer, Managing Director and Secretary-Treasurer__Sanatorium 
Dr...) In Sprura,-Chinie Physician so. foe tise Pager Sanatorium 
HERBERT QO Sinke Clerk :4 ee eee Sept ee eres att _Sanatorium 
DIRECTORS 
Dr. Orno. ROSS... 24. eke en eee Charlotte 
Mrs, CorepenTy MARTIN: ge.600 2 lon ery ee Wilmington 
Mine Wiel Er ee eas pecs wae Lt eed rns Southern Pines 
Mrs.f.,.). JONES. 2 wi eye ee ee SS Durham 
DEG ls MINGRE kee ee be ieee | ot ee Asheville 
Mra BB SWitsonee oo coh eee oe Peeeerenare re ee Raleigh 
DroR. GaCanig@ONepe ace eee Pe oe a Oe Winston-Salem 
Droid: (DONNOLLYS vs co) ea ee So ee ee at Charlotte 
Mrs. C; COR OOK aie hae ees Rar eI mt oo TD Ove Charlotte 
Dr. WL. DUNN 2 ees ee Asheville 
Cone. cL: Lepiow 26 pk eee ee Winston-Salem 
Mrs. S. H. BROWN. 2 3 22 Gee ok Oxford 
MrsiJ.MiVGupein.l mie oe! gee ee faceted eee Asheville 
Mrs, HowArp RONDTHALER.. 6. 50002 0a ee Winston-Salem 
Mars: GJ} a0 INGE Y2 =e eee, oe oe ee METI ce a Greensboro 
Mrs iMAx, Ti, PAYNE: LOne) ECC 2S So 2a Greensboro 


Poubese 2 TL EV eT ae ee Goldsbore 


LETTER OF TRANSMITTAL 


To His Excellency, 
GOVERNOR CAMERON MorRISON, 
Raleigh, N.C. 


Sir :—I have the honor to transmit herewith the report of the Super- 
intendent of the operations of the North Carolina State Sanatorium 
for the Treatment of Tuberculosis for the fiscal year ending June 30, 
1923. The report of the Superintendent is accepted as the report of 

the Board of Directors. 
The board requested the State Auditor to install a unit of cost system 
for the Sanatorium, but the same was not done. However, the same 
will be carried out in our future operations. 
Respectfully submitted, 
T. W. M. Lone, M.D., 
Chairman, Board of Directors. 





« ri 


ACT 
oh Nit a 


TENTH ANNUAL REPORT 


OF 


THE NORTH CAROLINA SANATORIUM FOR THE 
TREATMENT OF TUBERCULOSIS 


Dr. T. W. M. Lone, Chairman, 
Board of Directors of the North Carolina Sanatorium, 
Roanoke Rapids, N. C. 


My Dear Doctor:—I beg to hand you herewith annual report of 
the North Carolina Sanatorium for the Treatment of Tuberculosis, 
for the year ending June 30, 19238. 


The outstanding loss during the year was the burning of the kitchen, 
dining-room, storerooms, etc., on the morning of January 12, 1923, at 
3a.m. The beautiful conduct of the patients and the splendid fire 
fighting of the employees to prevent the burning of the infirmary were 
remarkable indeed. ‘The fire companies from Aberdeen and Southern 
Pines. came out to help us, which was greatly appreciated. The fire, 
however, was practically under control when they reached here. For- 
tunately, our water did not give out until the fire was well under control, 
though there are many times when we do not have sufficient water to 
begin fighting a fire. Too much praise cannot be given Mr. F. D. Chiff, 
the steward, for the serving of meals without let-up. When you 
consider the fact that the fire was not under control until 4:30, and 
that all cooking utensils, all the supplies for breakfast, and all the dining- 
room and kitchen equipment were destroyed, and yet breakfast was 
served only twenty minutes late, you are led to say, “‘Remarkable, 
indeed!’’ Our thanks are also due to Mayor 5S. B. Richardson and Mr. 
Buchan of Southern Pines for their kindly assistance, and to General 
Bowley, Commandant, Fort Bragg, for lending us two field kitchens 
and equipment. Elsewhere in the report will be found a statement 
of the loss, as nearly as could be estimated. 


As noted in the body of the report, we are indebted to many friends 
for donations and kindnesses which have added much to the pleasure 
of the patients. 


Dr. R. McBrayer, clinician and director of laboratories, left us on 
August Ist to take up the practice of internal medicine in Shelby, 
North Carolina. Too much cannot be said of his work, both clinical 
and laboratory, which latter he built up to where it was second to none 
anywhere. 


10 ANNUAL Report, 1923 


During the late summer we moved into our service building, contain- 
ing auditorium, dining-rooms, kitchen, storerooms, cold storage, bakery, 
ete. This has long been needed, and is entirely adequate for our needs. 


The Negro Division of the Sanatorium was opened October 10th. 
It is on the same general plan as the infirmary building for whites, and 
has a capacity for sixty-four patients. In addition, it has ample room 
for administration to increase from four to six times the present patient 
capacity. 


It might not be out of place at this time to contrast the Sanatorium 
and the tuberculosis work throughout the State with the conditions as 
they were when we took up the work here April 2, 1914. This, of 
course; is not intended as a criticism or reflection upon anybody who 
had been engaged in tuberculosis work prior to that time, because they 
had been laying the foundation for the work that has been done since. 
The foundation is always the first step in construction. 


In 1914 the buildings were of the very cheapest and crudest kind. 
The shower bath was on the porch and not heated in any way. The 
only method of heating the buildings was by fireplaces. ‘There were 
no lights except lamps and lanterns. The Superintendent, medical 
staff, and nurses ate in an improvised dining-room that was a closed-in 
porch, without any heat, for two winters. It was necessary to house 
the other members of the medical staff in the home of the Superintendent, 
which was heated by only one fireplace. There were no proper medical 
offices nor were there any laboratory facilities. There was a small 
dairy barn, which was a part of the horse barn, and which housed about 
twelve or fifteen cows; they gave ample milk, however, for the thirty 
patients who were here at the time. On account of the many changes 
in personnel, the medical and other records were so poorly made, and 
kept by so many different systems or lack of any system, that it was 
impossible to get records of any kind of any considerable number of 
patients that had been treated here, and therefore it became necessary 
for us to begin numbering the patients over again, so that our records 
start with number one. 


When it was learned that fresh air was a good thing for the treat- 
ment of tuberculosis, we went to the extreme, as we often do in many 
things, and thought that the more fresh air we could give the patient 
the better it would be; and therefore sanatoria were built of the cheapest 
possible construction and did not confine the admission of air to the 
doors and widows. ‘This was one reason for the type of building erected 
in the beginning, and the other was that funds were not sufficient to 
erect any other kind. The first building erected after 1914 was the 
left wing of the present main building, which on account of lack of 
funds at the time of building is a brick-wood and slate-roof construction. 
So far as we know, it was the first building ever constructed for the 
treatment of tuberculosis that had in mind the comforts and conve- 
nience of the patients and the nursing as well. This building was built 
with a main corridor and, opening off the corridor, on either side, rooms 
with bath between each two rooms; a diet kitchen and nurses’ office on 


Tue Nortu Carotina SANATORIUM ain! 


each ward; a common sleeping porch extending along the sides and end 
of the building with doors sufficiently wide to allow the rolling of beds 
into or out of the rooms; and all the rooms, corridor, bath, etec., being 
steam heated. 


Since that time the main building has been completed, giving another 
infirmary wing, which is fireproof with tile floors, etc., the central por- 
tion being administration and furnishing ample offices for the present, 
from the laboratories of all kinds on the basement floor to the operating, 
metabolism, and light treatment rooms on the fourth floor. 


A small steam and electric light plant was installed at the time of 
the completion of the left wing. A modern power house, power plant 
and laundry have just been completed, which will take care of the needs 
of the institution for some time to come. 


The medical work has been improved until it is the equal of any 
sanatorium anywhere and superior to most. 


We may perhaps be pardoned for making record here that the main 
building, particularly the infirmary wings, has been copied in toto by 
some states, has been copied with slight changes by many others, and 
its general plan is used by the United States Government in its Veterans’ 
Bureau, with the exception that the baths are all massed in one room. 
Perhaps we may also be pardoned for saying that the plans for this 
building were worked out wholly by the Superintendent and Assistant 
Superintendent of the institution, as testified to on one oceasion by 
Mr. C. C. Hook, the able architect who worked out the details and 
prepared the plans for us. 


We have treated up to the date of this writing, December 31, 1923, 
3,254 patients. The results have been the equal of the best sanatoria 
in the United States. Since we have had the equipment and personnel 
1o make it possible, we have followed the plan in our medical department 
of ascertaining all the diseases or conditions that may interfere with 
the patient’s getting well of tuberculosis, relieving the complications 
where possible, as well as treating the tuberculosis itself. This should 
be the ideal toward which every sanatorium should strive, because 
many times a patient fails to get well of tuberculosis for the reason that 
some other disease or condition prevents it. 


Our diagnostic clinic held here every morning in the year except 
Sunday has been very popular and has been of great help to the physi- 
cians and the people of the State. We have examined about 7,000 
patients in this clinic. 


The extension work of the Sanatorium has carried instructions on 
the care and prevention of tuberculosis into many, many thousands of 
homes in the State. The patients who have been treated here have 
gone away to practice and preach the gospel of prevention and cure of 
tuberculosis. As an example of the changed attitude of the people, it 


12 AwnuaL Report, 1923 


was doubtful in 1914 if a sleeping porch could have been found in the 
State, outside of health resort towns, while at this time the dwelling 
that is built without a sleeping porch is the exception rather than the 
rule. 


When we came to the Sanatorium there were thirty patients, as 
mentioned previously, and three graduate nurses, the latter drawing 
salaries of $5 per day each, and expenses. As soon as possible the 
training school for nurses was organized and was later duly incorpo- 
rated by the State of North Carolina through its General Assembly. 
This training school for nurses is an important part of the Sanatorium 
organization; it has been a success from the beginning. The teaching 
is done by the head nurse and her assistant, the medical staff, and the 
laboratory staff. So there is no extra expense connected with the 
teaching except that the teachers work overtime, the classes usually 
being held at night. The course given is the equal, so far as it at- 
tempts to go, of the best hospitals inthe State, and admits our gradu- 
ates to the third year of these hospitals, and our graduates always find 
themselves fully prepared to take up the third-year work. In addition 
to carrying on the nursing of the Sanatorium, these girls, practically 
all of them having had tuberculosis, are given an opportunity to be- 
come professional women when they are not physically able to take 
up the more strenuous work in a general hospital or in other fields. 
Too much praise cannot he given to our superintendent of nurses, 
Miss Elizabeth Connolly, for her ability and her patient and untiring 
efforts with the pupii nurses, as well as the splendid care that she gives 
to the patients through her nursing staff. 


We have also from time to time given post-graduate training in 
tuberculosis nursing to ‘nurses in this and other states who desired to 
perfect themselves in this work. 


We have allowed physicians to come here and spend from one to two 
or more weeks studying tuberculosis. This is and should be an im- 
portant work of the Sanatorium. The medical schools do not even yet 
teach a physician how to make a diagnosis of an early case of tuberculosis, 
and it is not only the privilege but the duty of the Sanatorium to teach 
any and all physicians who desire to come here for that purpose. This, 
of course, takes some time upon the part of the medical staff, but it is 
time well spent. 


It is always necessary to add to our staff medical men who do not 
know tuberculosis, and teach them. When they have learned well the 
work, they can command much more money somewhere else, and the 
process has to be repeated. We are unable to obtain competent men, 
men who are able to join with us in the kind of work that is being 
done here, unless there is some other reason besides the salary offered 
to bring them here. Usually it is a man who has tuberculosis and 
cannot do the hard work required in general practice or even in a gen- 
eral hospital. Then we must needs take him on and treat him until he 
is able to work, probably for only part time, and perhaps always give 
him rest hours in the middle of the day. The only other man who 


Tue Nortu Carortina SANATORIUM 13 


comes is the man who is sufficiently interested in the line of work or 
some particular line of work we are doing to be willing to come and 
work with us until he has perfected himself in the particular thing de- 
sired. The board should look very carefully into the matter of salaries 
paid assistant physicians here, and satisfy themselves as to whether or 
not the salaries should be increased. 


The North Carolina Tuberculosis Association has been a great ally 
in the extension work of the Sanatorium. The National Tuberculosis 
Association was endeavoring to extend its organization and its in- 
fluence to all the states, and in so doing was organizing state associations 
or local committees, and was featuring as a matter of education and 
finance the Tuberculosis Christmas Seal, which was at that time called 
the Red Cross Christmas Seal. In the spring of 1915 the directors of 
this association in North Carolina, without the knowledge or consent 
of your Superintendent, elected him managing director, and he has 
continued to conduct the work of this association in connection with 
the Sanatorium and its extension work since that date. From an as<oci- 
ation little known and without any funds at the time it was taken over, 
it has developed into a real institution and has done most valuable 
work along many lines. The total sale of Tuberculosis Christmas Seals 
annually for the last two years has run over $40,000 and gives promise 
at this time of being larger than any previous year. ‘Seventy-five per 
cent of these funds is kept by the local city or county organization, 
where such exist, and used locally. The work of this local committee 
has been of untold benefit in the fight against tuberculosis throughout 
the State, and at least in one instance has been the nucleus on which 
was built a splendid county sanatorium. : 


~The State Association, in its State-wide work, has codperated in 
every way with all other agencies and has set in motion and perfected 
a number of fine pieces of work. It has codperated with the extension 
department of the Sanatorium in work among the negroes, which has 
been a model and an inspiration to many other southern states. The 
State director of this work, Florence C. Williams, has been loaned to 
West Virginia to establish a similar piece of work there. 


The State Association brought the first public health nurse to North 
Carolina, who later became State director of public health nursing in | 
the State. Later still the association went into codperation with the 
American Red Cross, and our State director of public health nursing 
became State director for the American Red Cross, also in a cooperative 
nursing service, and later still the State director of public health nursing 
‘was turned over to the State Board of Health to become director of 
the Bureau of Public Health Nursing of the State Board of Health. 


The association has featured the Modern Health Crusade and Nutri- 
tion Crusade throughout the State. 


Before the United States Government was prepared to treat the 
tuberculous ex-service man, the State Tuberculosis Association paid the 
‘amount required at the Sanatorium and made it possible for the Sana- 
torium to begin the treatment of these ex-service men while there was 


14 ANNUAL Report, 1923 


yet nowhere in the world for them to go. This money was refunded to 
the State Association when the Government paid the Sanatorium for 
the treatment. The association also furnished the Sanatorium with 
an X-ray laboratory complete when the Sanatorium had no funds with 
which to purchase it. The milk bottling and sterilizing plants at the 
dairy were also furnished under the same circumstances. 


In many other ways this association has either led the way or been 
an important ally in the campaign against tuberculosis in North Caro- 
lina. 


The Sanatorium, iffor no other reason than its own interests, should 
continue the very closest relations possible with this association. 


Through its medical staff the Sanatorium has done a considerable 
amount of research work, both at the Sanatorium and in the field, and 
papers have been prepared and read before state and national organiza- 
tions, as well as printed in state and national medical journals. There 
are some twenty or more papers in process at this time—that is, the 
work and observation on which these papers are based has been taken, 
or is ready to be taken, from the daily records of our work here, and 
there is sufficient material now in the records to complete several of 
these papers. The last paper published was in the Southern Medical 
Journal for December, 1923, and this paper was published at the request 
of one of the world’s leading men in this particular field, as it contained 
observations that were of very great importance in the rounding out 
of methods of procedure, and particularly the deduction of diagnoses 
therefrom. 


The Sanatorium, in connection with its extension work and the 
State Tuberculosis Association, has furnished the material for the 
December Health Bulletin of the State Board of Health for the last 
several years, the same being wholly devoted to tuberculosis. In the 
December (1923) issue there appeared an article by your Superintendent 
making some observations on the incidence of infection with the tubercle 
bacillus, deducted from various pieces of work having been done by 
the extension department of the Sanatorium and correlated with work 
_ done by the United States Public Health Service and others in different 
states in the United States. : 


We are indebted to the medical faculty of the University, particu- 
larly Dr. James B. Bullitt, professor of pathology, and to a lesser 
degree Dr. Wm. deB. MacNider, professor of pharmacology, for co- 
operation in some of our laboratory research work. The following . 
statement is a strong one, but I believe it will be concurred in by the 
leading medical men throughout the country: The best medical work 
will not and cannot be done in any hospital or sanatorium unless research 
work, both clinical and laboratory, is conducted. There is a considerable 
amount of research work in tuberculosis that cannot be conducted 
anywhere else except in a sanatorium. It follows, then, that unless 
it is done there, it will not be done. Therefore, your Superintendent | 
most strongly urges that you give consideration to this phase of the 


Tut Nortru CaroLtina SANATORIUM 15 


work, and recommends with all the forcefulness possible for him to 
command that this work at the Sanatorium and in the field be con- 
tinued and encouraged. 


Taking it by and large, it would seem that the tuberculosis campaign 
in North Carolina has been fairly successful, and therefore proving 
beyond a doubt that it is working along proper lines. In 19138 there 
was no State-wide vital statistics law, but a goodly number of cities 
had accurate vital statistics, and from these it was estimated that 
there were 4,800 deaths in the State from tuberculosis in 1913. This 
was no doubt correct, for in 1915, when the State-wide vital statistics 
law was still young and departments evidently not efficient, there were 
reported to the Bureau of Vital Statistics of the State Board of Health 
3,710 deaths from tuberculosis. In 1922 there were 2,369 deaths from 
tuberculosis—a reduction of more than one-half in the period of nine 
years. It is apparent that if this ratio of reduction could be kept up 
for the next ten years we would be free of deaths from tuberculosis 
in North Carolina. But even if we do it in thirty years, as was sug- 
gested by Dr. Linsly R. Williams, managing director of the National 
Tuberculosis Association, at Durham during the meeting of the North 
Carolina Conference on Tuberculosis last ‘October, it would still be 
the greatest accomplishment in the history of the world. 


To call forcefully to your attention the importance of the tubercu- 
losis work in the State let me say that tuberculosis is costing the State 
of North Carolina in sickness and death more than all other preventable 
diseases put together. Dr. F. M. Register, director of the Bureau of 
Vital Statistics of the State Board of Health, in an article read before 
the meeting of the North Carolina Conference on Tuberculosis at Dur- 
ham, stated: ‘‘In 1922 there were more deaths from tuberculosis than 
from typhoid fever, malaria, measles, smallpox, scarlet fever, whooping 
cough, poliomyelitis, meningitis, pellagra, burns, railroad accidents, 
automobile accidents, and homicides combined.’’ But that is not all 
of it, for one of the tragedies in tuberculosis is that a person cannot die 
quickly. Statisticians show that on an average he lives three years 
after he becomes ill with the disease; while diphtheria, if it kills, does 
so in two or three days, and if the patient gets well, he does so in a 
week. There is no family so poor but that with the help of the neigh- 
bors they can stand an illness of a member of the family for a week, 
and the expense is small even if death should occur, and the loss is 
very much smaller, because diphtheria kills young children, while 
tuberculosis takes its largest toll from those who have finished their 
education and are ready to enter or have already entered the gainful 
pursuits of life. It is nothing uncommon for a case of tuberculosis to 
pauperize a whole family that was otherwise self-supporting. The 
husband becomesill with tuberculosis; the wife must stay in the home 
to nurse him and perhaps an older girl or boy, if there is one, to help, 
and the total earning capacity of the family is stopped. If this father 
could be carried to a sanatorium and kept there, the remainder of the 
family could continue to be self-supporting. But this is only an ex- 
ample. There are many other ways in which the tragedy is equally as 


16 ANNUAL Report, 1923, 


great. One of the frequent ways heretofore is that the father stays in 
the home and communicates the disease to all the other members of 
the household. It is expensive to treat tuberculosis. Yes, but it is 
far more expensive not to treat it. | 


The additional sickness and disease and death that would have taken 
place in North Carolina in 1922 if no tuberculosis work had ever been 
doneisestimated to be valued at fifty million dollars, and this is perhaps a 
low estimate. By the same token we continue to lose fifty million 
dollars a year in North Carolina in sickness and death from tuberculosis. 
The people of North Carolina can well afford, then, to spend larger sums 
of money on the treatment and control of tuberculosis in our State. 
In fact, they cannot afford to do otherwise. 


The one thing that is needed to have complete functioning of the 
State Sanatorium is a children’s building, and that should, in my 
opinion, be the next building for patients erected here. Then the only 
thing for enlargement would be additions to the existing units. As we 
have studied tuberculosis more and more and worked in it more and 
more, we have found that the campaign against tuberculosis must be 
taken up with the children. This has been done to some extent 
through the Modern Health Crusadé, through the nutrition clinics; 
and in other ways; but a building at the State Sanatorium for children 
is badly needed in order that the Sanatorium can perform its part— 
which really cannot be performed in any other way—in the work 
among children in this State. The records will show that the Board 
of Directors asked the last General Assembly for $100,000 for this 
purpose, which for some reason was not granted. 


I desire here to express my personal and official appreciation of the 
splendid work of the medical, nursing, and office staffs, the heads of 
all departments, and every employee of every kind. 


Please let me also express my sincerest appreciation for the hearty 
cooperation upon the part of each member of the Board. 


Very respectfully yours, 
L. B. McBraysur, M.D., F.A.C.P., : 
Superintendent. 


SUMMARY OF YEAR’S WORK 
Jury 1, 1922—June 30, 1923 


EXTENSION DEPARTMENT | 





ee er emenostt. recerved sk ren a ke 37,671 
Letters writtén: } 
Sybase Bhd cig SSRN A A ARTI le Teese 16,818... 
Pieters soe ees a Ng ae EA age eg Ng ANS 2 alc REE 
: 58 , 682 
Articles written (approximate number words): me feat lo 
SmOmmeADer eet fe ee ee Bee nl ee bn00 
Prema sek ues UY yes Oe ee RA TN er 8,180 
Breer male Me soe ie lia An eee Mie reve pre ds 22 . 8,650°. 
eer OMG ahOna seen ean ee ees Be Ek 22,750 
———— 44,780 
Articles copied (approximate number words). ___....-...--------------- 388 , 135 
Forms and placards prepared___-__---_------ hi 5 anata chm hid i aul ae 6a Nas 
Total number copies of forms and placards______..._......-------_-._-- 60.500 
Blank cards mailed for reporting cases of tuberculosis_ _ _ __-_- ee Eig. ae 3,220 
Number of cases reported: 
Sve Tweens tute aresia Pues Ue bal eh 5 1°1929> cia 
OS EYR ERED 2. "ASRS IRIS ete tes Can pe SE ee ee 922 ris ti 
ih dtp dedades 
Literature sent to Bee en CaseS seine cu nce tro mee <7 SUE ENE 
Uimemincracure sentoute...0 008 et US Tee eee ee mee eat Lah ae 10,585 
Orr ae osrentOued et fe Vad GUE DARA see Ni co Se MN EN 44 285 
peer mirer autres 6 Ue ete ee ire Ol a es 1,939 
Meeremectitedgomtrentolled. 00 oo a ee 8,879 
Sputum cups distributed__ _-_-__ Nay ra Lo Na 2m thrown ine We toe Lk ue _.120,410 
Tuberculin se1.t physicians for von Pirquet Les treet ramen: Sb Cy Neer 194 
Blanksifor reporting results of von Pirquet test. _.___{_......-..-._.-.-- 194 
fee me echo mec ati uten «eset Ot SP Oe ee 447 
Approximate number of words in patients’ historiesee secre et een hin eer 670, 500 
Special X-ray histories written (Gastro-intestinal studies).______________- 
Approximate number of words in X-ray histories. _____.__.----_-.------ 6,750 
PUREMELG OSI ACI CSCO C Satie icc ts ending wee a a ee Se ed heroin leap i be BE et 113,726 
Av MICs CrmOtL eee ee anc te ee ee le POOR Te i ee _. 46,539 
Outside patients examined________- Loa Her GM usw abe emma yg rene! See 823 
Report or L. B. McBraysr, M.D., F.A.C.P. 
fe mel OLLICe Manama See ete eR big Pee 2 a to al ek ws 60 
PLOGTeSseS \OCILVeGTEC! 2. eels want Lee Reel a Nin BM a2: Pe ee Mee EC, lee: 29 
Miumper in audiences. 22 $2 4. bo. Ne UN OIE iellel Pea At Sky iene 3,055 
ret Fa lonsyaAncNconieren Ces. vs a5 Beet ean ee eh) FE ee 1,342 
Report oF P. P. McCain, A.B., M.D. 
aan Ol OLLLCC ras rita ek Me Ns) as kee Ee Wee ene he 9s 2 Sela 39 
AIG R RSTO ACL hr Sickel gd Peete NO RASS at net ye erin St ee SE 5 
RD Se PRI LIVa UICICN COs Sr amore ert Pe porns ro I rere eee al an ee 585 
Report oF R. McBrayer, A.B., M.D 
Mey S-OUULOl: OLIGO memimree str eS er to 7 oe fy ee ee AS RRS Biol. 19 
PO DETBENCAG ons tr Sue iee en eh ge ee os yO RN AEE efor aN el 5 
Number in audiences_-_-_._____--_- i lie © Scene Bille Mt a st a 400 


OTOL ETC CS aia mone Skee ws Nt Mi Ra Eee i Mag SS ere 30 


18 ANNvuAL Report, 1923 


TUBERCULOSIS CLINICS | 
(North Carolina Tuberculosis Association) 

J. L. Spruit, M.D., Clinician 

July 1, 1922—June 30, 1923 


Number of days in clinics. 2) 25s 22 2.) ee 193 
Number‘of- addresses given’. 2225 e/s25_ eee ee re ee 73 
Total audiences 2. oooe LL eee 2S eee ee 14,500 
Number of positive cases 2.2 2u.5.21 cee ee 685 
Number of negative cases_.___.._ --_J ) Use eee ee 1,158 
Number ‘of suspicious cases_.c2.. . Ls ee 225 
Total number of examinations. ... 222 ee ee ee 2,068 
| SrEcIAL EXAMINATIONS OF CHILDREN | 
Number examined by inspection (adenoids and tonsils) 2 _ oe civerc Bite cesael Tie 102 
Summary or Worx AMONG THE NEGROES 
Number reached by Mrs. Williams and colored supervisors in health 
lecturefic® - 2020 sys. 2 el es ee ee eee 155, 886 
Number reached by Dr. E. T. Ransom by iectures and health educational 
920 


moving pictures.) Se eels oe ee Jeatacetr th dane 28 ; 


MEDICAL REPORT 


1923 
STATISTICAL 
INirraberotupationts.to be reportedyon. 2 2.200 oo wi eet es SN ge HI Bi a ge 359 
INTIMmDeren Otro lASsitiedl aan meee et eens iS Se Sneed Spear ee oi 13 
IND CTE ObEL Der CULOUS yt seein ay seni ke aU) Me Ua ee elas aE ORT SEM aks) adem ile 64 
NGM ETO AtIENtsHl Sanatoriun? July 1) 1923) Ue ween seme ee ee ee te ee ees 153 
' Total number of patients treated during the twelve months_- __________.__________________- 589 


46 PATIENTS WHO STAYED LESS THAN 30 DAYS 


Condition on Discharge 


Condition on Admission 

















Arrested pupeTaay Quiescent | Improved ee Died 

ENCIplEntee see Sees 7 0 0 0 7 0 
Moderately advanced___12 0 0 0 11 1 0 
Far advanced___.______- 27 0 0 0 10 14 3 
Acute tuberculosis. - ___- 0 0 0 0 0 0 0 

Otal= os ee e 46 
Total number days, 842. Average stay, 18.3, Longest stay, 29. Shortest stay, 7. 
Number gained weight, 29. Number lost weight, 13. 
Average gain___....__...__--.- oe Noe 3.8 lbs. | Average loss_________ LR TO Ml Ome A 2K 1.9 lbs 
Warcestac nine von se ee Ue TOJOR DsarlarrestylOsa secs eta rulycu Ue ey WOE il wales dy Se ne 5.0 lbs 
Pimallecteralnssee ese ewe eee see oe RY DRL DSaE SMa LESt LOS eee ee els Moet ae nu Eh es ae .5 lbs 
SUALLONALY Seen ee ee ee Oe tbe Bee AGN OURWELe NOC auc lane. See ean ert UP rk SI 2 0 

81 PATIENTS WHO STAYED 30 TO 89 DAYS 
Condition on Discharge 
Condition on Admission 
Arrested pane Quiescent | Improved ees Died 

HinCiplenteass =o aww t 22 0 0 oi 13 0 0 
Moderately advanced_-_-_22 0 0 6 15 2 0 
Far advanced_..___.__-- 37 0 0 2 15 15 4 
Acute tuberculosis----_- uy 0 0 0 0 0 0 

BLOta Vee ee epee 81 
Total number days, 4,938. Average stay, 60.9. Longest stay, 89. Shortest stay, 30. 
Number gained weight, 70. Number lost weight, 11. 
AV CTAR GALI aoe ne eee ote ee a Ora spa Awera COR OSS meres aea\ ua sare lee ee a eS 4.6 lbs. 
Warcestroor (ts Sale ee a wmeee Bees SO.ONDSe le leareestrlossaae cr. 01s cee See ant nee ome 10.05 Ibs. 
Smiallesttsai neice eee eer Oko EDEL DSap Teles Gel Ossi oat ure mies echo .25 Ibs. 


SS EADIOUALY 2a tee eames Soret ed. Sakis A INTOGR WEIS LOC Sewers cre PAR ccs ea a, ei tye RU Beas 


20 ANNUAL Report, 1923 


232 PATIENTS WHO STAYED 90 DAYS OR MORE 





Condition on Discharge 


Condition on Admission 


Arrested en Quiescent | Improved Sracca Died 
Tneipient sae =. yeaa 73 3 38 Se Bye 0 0 0 
Moderately advanced___82 0 6 46 22 8 0 
Far advanced_-.._-.---- Ge 0 0 23 32 17 5 
Acute tuberculosis.__._. 0 0 0 0 0 0 6 
LOG a Speers Bie 232 
Total number days, 42,724. Average stay, 184.1. Longest stay, 790. Shortest stay, 90. 
Number gained weight, 212. Number lost weight, 18. 
Average\galnl a.) (0) See a eerey sl ee Meee 16.0 lbs?) pAverdseqlossaeees an ees aeee re eee ere ere 6.54 lbs. 
Rargest ig ans a0 Gl esse bape peas eS 69:5 lbs. | Largestslosstuu = oo eee re eee 12.00 Ibs. 
Smiallestega rns seeing ae mlm nets te ee ee 6. Ibs |Smallestelosse yeens eae eaeeee eee ae = eens .25 Ibs. 
Station anys sles eb ees Ni) 2) Not: weighed Rosie e eee ys ee 6 
HISTORY OF HEMORRHAGE 
Negative... of. eu6e eeen! e223 22 oe 206 
Previous only. .22..._-- (02) ee 132 
Positive « Previous and durmg residence. 22. as eee 5 
During residence; onlyo22 2 40 2 a 16 
RESULTS OF SPUTUM EXAMINATIONS 
Negative.or no sputum. 22.205 3 ere 
On admission eee ee sah mich can ahaa bam ie ge 2m 2a 116 
Positive « During residence ----_--_--- pane Eee eben mr Mays see 1S erat g Le 142 
On discharges 92) 12. 2.4 noo | ee 100 


SEX, AGE, AND CIVIL CONDITION 


Age Civil Condition 
Sex he = Se SE ee ee ee ee 
8-19 | 20-29 | 30-89 | 40-49 | 50-59 | 60-70 | Single | Married | Widowed] Divorced 
Male______146 49 133 100 64. 15 5 133 201 21 4 
Female____213 
Total_ _ .359 





NATIONALITY: Americans, 358; Syrian, 1. 


Tue Nortu CAroLtina SANATORIUM 21 


COMPLICATIONS 


ED yperthyroldisin ee. ae ae eee 9 


PR CleTLGEG fester SU ety NE Nuiwoenty Pola) 9 
PNCLOTIOLUS = 2 Sea MnO) Teerliynothyroidism=.. .27.cn8 Lae 1 
Alveolarvabscess2 .. 22). | evils Stem VSLCTICN Sack Reon a ck, soe ee 1 
Amebic dysentery... 2.seeuievies is-welschio-rectal abscesses. 223s sGrs Ue 2 
Amenorred e. 6 eee aac ke LPR VDIOSIS rete Senne tea te cor 1 
Peremnesuroee ee hal 11 Laceration of COLrVIxX. 2. eens 19 
Prriimtisttiicme 2 eS oetuving 119 )shaceration of perineum: .. 2 sce 10 
ey Osos o.oo dag ioe 2 . Laryngitis (tuberculous) ____ 252252) 45 
Antifiexed uterus. . 2ovseuu! scuu Winhy LL POI. ce vie van ates eee salreyy*s | 
Antrum infection. 2. e222. sek ee By eieletiee ule sti i irl Bal pis ee 5 
Aortic regurgitation_-_._.- phe ls. si) 3 Pr wevialaria (2 ooo So) a) Oey Syettah Ome ns 1 
POO PeneClbIs. eins Slee wig tars Pam BTAING oor Cu OU" oe aaa 1 
Perermecierosis. 2) a 3 Mitral insufficiency 4, coe aaa 14 
me miemrseptic). oo 22 DRemeLILT AL StCDOSIS Sar Je Uk Fane el 
mepimaoronchial). 2.8452 2.2 TPE EVOCALC IIS nana.) Cn lmketic 8 a ee 1 
Premmnine tnmitiso22 2. fos DeeeVeyOUDTOMAa Olu ters... ee 1 
emerson eee a eee Nasal POlypl.oo3.-..2 ee ae 1 
mremenieciwisisr: Sh dips Sap THMENCDULM pews 205) ee thes Fae ae 22 
Seer a eee ee DU) RN CLITL CSc eetel ae sah! merle ote ea Avil 
Broncno-pneumonia (tuberculous): 4 Orchitis._2-_~_.__-._-_/___ 4k al 
Renee TRAC) LMS MCC ae op eo ee 9 
OP RGIET REL aes Gingell hae Tee cllagiiac arweeen os. albu are, a eae 1 
OL MOSES IGT TE 2 oR Aaa 4. Perforated nasal septum___..___._- 4 
Berriciiviniemiecrt a DPRRECOVLCONIL ES ania d se ae a lie 
Breer UenOm ae et eo iwesPes planiidamee obo ae Pes 1 
hy SUNS ae = 2 ee ea D IN OSIS Senet eee = als cies ea 1 
USACE wa ose alg by (ea CULUABY CUSEASE, 92 <b 5 ee ee 
LL (UBYSHOS Sel. 2S 2 65 a a 2 ‘se leurisy, with) et Usion .... <2 ae 10 
Dislocation of hip (left)... ... 2. Des OLS eC ISOs eG ne Ge birch Lr enn 1 
POS Na UICeree ss ks iiaie LCOTISIVG Vertes co ot kes ese e  E 2 
ERE 2 ele ae eee eee Passerolapsedenidney” V2) 02.0 cate 1 
UAB 00. ka Hee SON SIA DSCOSS aul oe sc) nee eo 
PAA OCALC Lise Yk pe SOLIA Rts epee ie tas. aie OY Br Steels 1 
BUmeeCUy Cisse. 8 ek meh CLI GES ae re tenth eee iv oh de ala lhe 2 
Enteritis (tuberculous). _____.____- LO pemee VOTE DCR ce fen nner Sah, eae LAE Bf 
Le EG NS a A ae OC LOCELO 2S inty 7 sae ie nye. etches ja 5 eR 5 
PEGATONPORCCrVIX® = 0) ef 2 2 me etrouexion Of Uterus..5 20 ase 8 
oe ree nenron eye et eta el< Me SCOlOSIS a) oe os eet ol epee ie 2 
MeGuraAL SINUSItIS #2 oe te 7  Sebaceous cysts (scalp)____....-.-- 1 
Gall bladder disease _____________.- 4 Spontaneous pneumo thorax. --_-__- 1 
SrosthiCeicers | eat) ee alee eo trabisinissers ose tka 1 
CTT NT WO Sy al aa Dy Ce ae Oe 1  Subinvolution of uteruss:. o: eee 
EDR {ESSN eS lle Me la ees eee IWAGWECN1a: CYULIS Tee eerste ce fe oan | 
BPCTNOLEROLUS SE) Seco ee ce ee LOTS ONSII tice i we ee 24 
SPEC ONTARNOUINAL) 2 er ee. Bae le SS uWRY SELCOCELG crt). 1. 2k) ch ing Yan arene 11 
SOT eee ne es ue a 20> BVIsceroptOsisa 224. a eae eee 4 
OCCUPATIONS 
PAT CTs ee ee ee Lee ene: 1 Employees in tobacco factory~ - --.-- 8 
BND Clo ee ee ee ee A» An gineersu eo. Sool ee eee 2 
PSIG SING oe nz sta ee ev logs ATIMOOLS eran a Sel ig EL 
POOL RECTCI Sue seat Ske = oe ree 8) «Glassiworkers2 3.02 uo eee 1 
15-08 PAR ET SS RUDRA Oe ORO eens Sl Sake nie 2a OUSEWOTK See Le a ae eee eee 133 
Saterowner 22 nee. wos ie ete d eee LUSUbANCesAgeN these ee ee 1 
Se ALDELLUCISo ee me go ae ee OP RRL TeCSS aeenies pd et eee eee F 
APTN CTOT seed te Meee fn dy PE a Quem limber DUsiINnessae 0 2) ea. a eee 1 
Srlerks ese A oe eee (0g ROPERS FORE Sk. wMieilteartercc. 0 1 eC ae 1 
Employees in cotton mill_________- 22 eaNT ech anicss).. 2. Jn eh er a 2 
Employees in hosiery mill_________- PueeVierchants. 2.0 22) OCee lee eeee 12 


22 ANNvUAL Report, 1923 


Mall foremani 0) ere Lee) Rubber; workers. 2 eee 3 
Mill’workers (9302275 eee eons 4° Sawmill worker222%e- see eee 
Miner. con coe ee ed Geb 1 ‘Séanistressi eras ee ae | 
Ministers 22222. 5. Dee re 3. - Sheet: metalsworker2_ 2 aoe 1 
Niirsesd(aLe goto 2 2 eae ae oP Steam i tier eee “gemra hice Ta 1 
Office worker... 2 ee ie 1. Stenographers=2) ae ee 7 
Painters Ob bi a be) aoe eee eee 1 Street car conductor. 2..05.232 ee! +3 
Rhysiiane ne sa ass per y dooney how tl 1 Students ee. wo. ees 540) 
Plasterer... vuuuetedoa. mae oe coal 1 . Meacherstes oes 33065 wee Tsee b2 
Policeman... 2.40 Geese) ee 1. ‘Yelegraph operators. 2.4. eS 1 
Printers Ae G2 es 1 ‘Telephone business_-_-22012 L222 1 
Railway car repairer.__.--------22 1. “Telephone operatorsl.i24l U5 Uae 6 
Railway ‘conductor.22_ 2 ¥:_ See 2 -Wrainidispatcher {2 00) eee 1 
Railway brakeman. 2._._.-_ See 1 ‘Traveling salesmen =2— 0 eee 5 
Railway fagman 22 site ae 1 
COUNTIES FROM WHICH 359 PATIENTS CAME 
Alamancese. 33S et eee 6. Johnstone ees ee oe ree ee nh 
Anson Pies 464 cee Be ead VN eee 1, “Leeye get oy haces Mew reer ee 6 
Beautortees ss 022 oe see oe ee 3 'Lenoirless sess we eee J 
Bertie. ares ss S eho Se eee G ‘Dancolntczesas ts ao i ee 3 
Bladen yeg 2852s ei > a) Se 3 .'Madisanesie are) tee eee ee ee 1 
Brunswick 22s ees et gis MD 1 ‘Martine haere es sore Wee ee 3 
Buncombe. sss 42 awe: oes 2 MeDowells- 25:22 622.-5 2 4 
Burkege 2. 7 Dae ae ee eee 1 \Mecklenburgeseee. S20 eee 6 
Cabarrus irs) 25. aps bor i) a 20' JMooresees rates Naat eee oe HS ork oh 5 
Caldwells. 22 32 ame eee ied aie li 1 3 ‘Nagh rte secs oe ten areny sarees i 
Camden #7 gh reo so a 1. WNew, Hanoverstw 2) eee 5 
Carteretc22 Vege er Oe eee 4° ‘Northampton. aes ee eee 1 
Cates bacciuck > x: St Seeker nee 3 ‘Onslow .riieas eee ee 2 
Chatham. saa shinee cies. Wee nenene eee 1 Orange se Sep ae ee 4 
eects 0h SN ale aie he ok 1. Pamheoloseeee sae ys eae eee 1 
Gleveland:: 4 ahevege see ee ee 1 ‘Pasquotank 23a ea ee ee 1 
Colimbusio. 4s hee oe Hoo eee G6 ‘Person .22 eee ae peal 
Gravett. 20 2 2an seeded ence Te SPIO ee ee ee 3 
Curnberland 6-5 2 Ve Seo. ene 4.” -Randolpnw tae paar ea . B 
DA VIGSOT MES ee Uo certs ool annem ees 12. ‘Richmond2355 eer tee ee ’ 
Davie i 2s ait SoZ ta Tee Ao 1 -Robesontkessee oer eee 7 
Dirplini ii: it  eae ee 2. “Rockin ghana: pence oo ee 6 
Durham 2 22k Ae aw ee ee 18 OWRD are ee ery I ee 10 
Edgecombe: a2 ee fe 0) Pee 5 . Rutherford aes te eee “JI 
Horsy this ui Uta, MaMa einai RE 14 . Sampson sce), eee) Tees 3 
Franklin 3022 .sta' nbn Ba he ee eee 1° Scotlands. s See la eee 
Gaston 22 oss UM Se ee eee 4° --Stanly 25 aa eee 10 
Gates occ cede Pasa ee 1  Stokés2.235 eee Bg Mig hao! 2 
Gira an tes 2 eh Sac pes le 1» (Surry iw oie eae nee 10 
Granvillesson S200 Sete ele v. TLransylvaniaes se see RE ee ini 
Guilford 2w4. 525 ess eee 17°. "Pyrrellaee ree eres 1 
Halifaxecns eo Roane Shir ee 12¢ | Union 2232 spake ee ee 3 
Farnetted ues 2 7hc We (i eee 774) Wake sc <2. aie ae ee ee eee ees 21 
Haywood . ce a ae oe oe Ll Warren? on ei eee een eee 1 
/fHendersoncwiil? scnduint W wesuien 3 Wayne.) 22 Se ae a!) 
Hertford ciao. fo eee 2: 2 Wilkesot 2. ee eee “4 
Ok es 2 Sie GI ae ieil. ~ Wilsoniwoo sos eee ee eee 12 
Hredell ek Be os Se ae 15 wl 
TOWNS FROM WHICH 359 PATIENTS CAME 6 
Aloskie. < oa: 15s a eee Soe LiRD Ashevillesui2ec0 2 oe eee t 
Albemarlenc 2 iu Aiwa ie eee 3 Atlantic. o> Ne ide 
Altamaha wesw fo vie eae PO 1. Auroras osco0 JES SO ee 
RDO Sor peice kis 2 Cad) oP ne 2. ‘Badine 2 22220 _ ee eee 
Msheboross 2c Jac eee ones : -] Barium Springs... : eee 


Tuer Nortu CaroLtina SANATORIUM 23 


SOOT Leen a Se eres sa tara eye): | 2 
DOIG Oss see ne ee HN hee il 
Prone Ve we ee nee, ales, 1 
PSEUISOI eee Mee eer eRe NY TY i, 1 
ESO UN OI Mey he Ag aneteae. Cor city Del) 1 
MSR TOOICN Bree ee ogee te 1 
PisckeViountain.. 1 
Boiling oprings od Seip 1 
cera ere ie NS tet tee 2 
Prices Ve ee 1 
imieemerecim er i et Sanayi 1 
Burlington... 2... SRT ee 1 
CLOTS BC Ns A OT 1 
SeaeeroreinVviieG ss. Or tO ore eg 1 
"OSN 04540 lg ls ne OD le Pad Faek 1 
ert OLd Oe dll § ae. 1 
Meee CAT Tr ee yO ah eed il 
Peeeer tg lal 3 
BeINeIYOVEG lL. oo cc 8 on Neh 2 
Meee ee eee Se tral 4 
DATA Rec e oee e e tid 1 
LE EN ly ge bet ee po 1 
ena ee el ne 1 
TeUIPC Peer | Say A} 
eOrn inte lo itielay 2 
Dry ete ee I 
(Or iteteh fe (Geta oe) a oa aa alt ee 16 
ere re wee te tA 1 
pin an 2 SS aa ices here | 
OSE NCELS 4 7 ON AO 0S 1 
Davidson_______ 2 err 1 
TMOG UC! oo ees a ea 1 
Seem re, 3 
Ries 1 
Riri eee ey oy TS 
Pov lonopiimiceser wee he 1 
PrasteOUriiniie es MoE ee yet ee oy 2 
Pee Cee IL Very Bee es a | 
WADE ILOWO eet. aot ee eS 1 
PAR Ree ere es Sil tee ete eee 1 
RNIN] Sree Reka ee 1 
[ELD WE'C 0 7 ag 0 try lylekll REI SC 5) aS 1 
PIV ESTES Me Castes secu) lil Ae AM Be eid eae nO ee 1 
Torlianger sa. aeons nk Pal eb 2 28) 2 
Fayetteville_______- LAT SE 2 
MOTOR beILV ware ate eee ee 1 
CLopeurata FEY ali (OS toh leg Sh i aa a oe re aa | 
SSCL eee ee aN NT A eit eS Da 
STIS ILV ILO eee ee eee rest 2 
ACM Od S010 Name nag eg ee De Seah a ede Be 1 
SOTO ae et ald Fe Ee 6 
CCN oC) LYSE a0) 0 gga 9 ley te te 7 
PLAIGIO LOT retest ares k Wiel der 2 
LEE ONS) Re leding telnpetd ad eRe eer anata Be ae 1 
RENE CL atte ek ee et eres allen c oes 1 
Ea vea VL ee Storie Fel Sb Bey aie 1 
Ter meee ge eee ns SN A 1 
ELeGHeIsOn (be oan Be) FL EATS & 3 
TARO 0 ee te te reat AO EF 2 
oe OUI teeter meee as eth A 7 6 
AI IBDOLOe =o a ee te ee oe Sh 1 
POP OUC eh te tent aie a 8 os ers 1 


Gt DTD a ewes © an Bebe ro ih 


Propet Viilis tuias. vests kc oe eRe ae 1 
Hamtersvilles = 2 gt oe eee 1 
Jacksonvilles.24.0)22 220.25 il aeee 2 
Jomeshorose se ois see eae 1 
Kannapolis ic. 3.2 be tate 2 
FRISCO Belt ee see one ae 1 
i phies A ike Weld eee es Day 1 
EIOT CLR Ales 10 eo ie a eh 1 
ask enie ior: Ch Oe isa See ey ae 1 
TERUITIN UTE? se ye ee ae 1 
eNOIPLY See ce: WD a Ve RON 8 25 Rs 1 
GXINT TOM: oo cee hol een Vea ae 4 
Real Hatori aes pst Ak PRN ln a nes 2 
Hincomtoneeses lo  eee WORE 3 
LAN WOOL ee ue. OR ea 1 
Littleton oe es FO a eae, 2 
LOUISPUT Geos eee, clone eae 1 
McAdenville a, ee Soe as ee teh 1 
INLD CISON me sake ce 2 DR nc a 2 
IMATION eee 3 ST He Sane eo 1 
EVER UOT 2 lic nets Oe 1) Se aa ahaa 2 
Mavodans iii ia 6 50 ara 1 
Mebane _ - 1 Ver sl at ae bD 
Middlesex! is Py Sk uo eli 1 
Moceksville________. STNG Same, 1 
NLOTTOG) ote Utter Clie eee tents |. bie 2 
Mooresville___.___. NP RPTES here gene 5. 2 
Morehiesd*Qityoeo. Soccer ems 1 
IVE OV AT TOT: van. ae oe ye ee eee ae 1 
Mount AIT Yu eaten RCSD ae 6 
Mount, Ol Ve mmear che Ne aaa ae 
OUD Dea Laie ery ine mee PRIA AE? 
WN CLS) VLE Gee aaa de of ee La 3 
EN ZAP O UI Cee ee as ye See ea ee 
Nealsville_______. BANE OP Pe 8 1B 1 
New Bern Nes SCA eine AY Ii Pie a opt cee 2 
New London__..__ bb sO ee aoe AL psa = 
Newton waroves. o.oo ake SA 
INGLE Ree abe eet en ee ke Suen ce Ce aD 
North Side__ far Venriae ene tyne ye | 
North Wilkeshoro.._...__......-.. 1 
INGESDOC eet as yer ENE: Ke 
CA DOL aie seam R Mee Lilac eta bean IE 
CLINE ae Be ee) ee ey eR 
TA OT KUL acter ose ws ee ee ee ike er a ar | 
COXTOLG auteet Acres 1 yi Set ev ewesy ok ee ri 
PInehiirstat ase. icine) ete hake i! 
Pinnacles e geese = 2 ay ope OR te thes 2 
Bittohen Bieter as we anne ee ee 1 
Rroctorvilleseeee) Se ee eet 1 
Proximity yp ecal hohe Neale sthll Smee 8 
EG eLOnCeen meee naga MPA ane wala ol yer ae 1 
Raleigh coat ees Or hee. ae Sean es 
Red:Springsiens Cae ee Pek a Mite mnie 
Richfield Pete ee caper. Ue Oe, 1 
Roanoke Ra nidsset 2-0 ae eee 3 
Rockin gnarieie tion Stee erent os 1 
RockyeMountest teas jee Wid Som 3 
Rondacereinss tee eee De 
Roses Gill Waees = he eet Soe ere 1 
Rosemary_ SER NS yee ee ey 
Rounds Penis: Stk se ee ee ae 1 
Roxboro eee Bap pana me fal So Salen NE SY 1 


24 oo “AnwnuaL Report, 1923 


Moxobel 2c. 52. Je se eee uuenil 
Saint) Pauls) 20-0.) cere eee eee 2 
Salisbury 222.0. -.22-08 eee 5 
Manford sete. 5 eee BRUNE NEA un ate) 
Scotland Neck_ - --- ode ORE 1 
Delma ses Lo Ae ee 71 
Seven Springs). 2.5. Uli eee i 
Shosles 2 772 bao ee ee eee eee 2 
Diler City S:guc cs oS ae geen By 
im Mss. 0-2 es Se eee me 
Smithfield__.______- oe see 1 
BOpN arc oe eee AER 00) 
Spencer _ - - - - 2 Sere the oe ee Lal 
ples 222 88 oe 
SPINS PELODES cee soe been 
Stantonsburgec ia. snk eee 1 
Statesville ei ee. Saas ED 
Stedman. Jee ee. ee 1 
S Lenses Ee ae 1 
Stokes etpe 5) eee. ee er 1 
Stokesdales.- be. 722 eee 1 
Stonevilles.... 4. gsc. 24 Se eee 2 

Up plyeee lin cae tho. 3 oy oe 1 
HL arhoro 2600 2 lh eee) 2 
‘Thomasville. 47223). |.) ee 4 


‘Lobaccoville,o see) see eee 1 
Traphill > (22. Vspeeaae ee ee ae 1 
Prinity.—. 22... es ee 1 
‘Troutman’. 9226s eee 34 
Wadesbords2 oo. ee ee eee 1 
AEE a 2h 01 Pees Poin, Cece MAME Ss 3 LE fe Sy 7 1 
Wallacec wees oO ee, ae 1 
Wananish..o. ... Ae ae 1 
Washinrton Gen 2a do. 2. eee 1 
Watsons oe ati one aioe, ool a 1 
WW Ox Ss Were coe ee oe i BOD See 1 
Waynesville.:.2......... 0feeeut 1 
Weldon. 26 satus es 1 
Wendell 3.7) oe eee 2 
Weentworthiuc en i 1 
West) Durham... 5500 ee ee i 
Whitevilloise bias ee ee 1 
Williamston. 22) 2022s. ae ee 3 
Wilmimeton sa 552550 5 see ae 4 
iWalsonsers S22 5 of2% 2 ee eee 8 
Windsor ee Sl a eee 2 
Winston-Salem >o2 224.22 oe 12 
Winterville: i545 oo 2S) Bae 1 
W oodleafuccter es ois panes ene 2 
WoodVille 2a torso a eee 1 


Nttly2 22 ee Be ee oe eee O7 . ‘February 22 oe 2 ee 32 
v2 Kea <1 gpa ERED (5 ee eMayh oir yc a 14.” "March 27 aa oe eee eee 60 
september. 42 9 2ae en es ke eee ee 05 © “April eka” So res orl se eee eee ee 66 
October___---- ha a eo em GB 7M Bye Ait ge el eet nee 61 
Novemberg. 2 tiaras oe h rene es 64 . Junes stews see ee ee ee eee 86 
Wecembervn) 2 Sete Niee Oc ee ee 57 — 
PANULATY Se ee ee ae a ee eee 63 Tota. ater 3 28-5 arpa emer 823 
Classification : 

Eix-pa tients: oc ae) ee eee 223 

Positive didgnosts tase soe 178 

Negative diagnosis___________- 422 

Total. 42 eee 823 


SUMMARY MEDICAL REPORT JULY 1, 1922, 
TO JUNE 30, 1923 


Patients Admitted: 


Incipient. 222 2.0 0 2 ee 6 ee ie 100 
Moderately advanced________~_- onc Ds Og, Cee eee 122 
Far advanced oo. ek oe oe ee See 162 
Not classified 2.2) 2 2° cag Bee ae 39 
Not tuberculous... _. ob eee ee 33 
' Totaled ee 456 
‘Patients Discharged: 
Arrested. a et ee 3 
Apparently arrested. .7. 3 4s =.) ee 44 
Quiescento. ol 20 LP Ne 123 
Improved3 oc 8 ee a ee 131 
Unimproved [222 a ee ne 58 
Died 22 eee a tee veces nee eh 13 
Not classified 23220 oe ee ee ee ee Ts 
Not: tuberctilous? 2 22200 > So a 60 


Tue Nortu Carotina SANATORIUM 25 


LLOSDItAa VS alos 2 es 3) | SE See R rte eee ey 62,873 
Number patients, July 1, 1922_________- shel nidaeo ve 151 
Numbermpatients admitteds 22304202 6) is. | ee 456 
Number patients discharged. 2+ so) lecucge {iy a} 445 
Number patients: June'30, 1923 2¥ 2420 2a. BOON VY) Bs 162 
State appropriation, maintenance_____...._________ $85 , 000 
‘TOste per Datient Der Way. ss sere Bees sob eee 2.94 
Costper patient per. day, state. 2.224. .-452h222- boa 


REPORT OF X-RAY LABORATORY 


Stereoroentgenograms of chest (Sanatorium patients)____.__-_____________. 495 
Stereoroentgenograms of chest (outside patients)_______.22__22_-_-____)__.- 186 
Seemeries other parts o1bodycceg 2660) em: 2k ii cn ee 106 
pee a ey dee tee Ot PRE HEy uer rs re De ee oe 787 
ements ne ee tg ee eee EN ee es oe a 50 
Pomme ciieetlICiCe as en et Ae ie ok ae ey A 23 
oy LABORATORY REPORT 
Sputum: 
ONIClOst cree. 2 Aaa: 3 oe Lie Ape: AGE BUSAN, pe, (2 RRS Ne ha Cane E 1,877 
eaten NPE tte tm ee VOR A lis ee SEW A oe eee ah ac 593 
SOU MPR oo Sele oe Bue ee AY COE PSE IEES «2 yt Main Sy oc denis ote One 2,470 
Urinalyses: 
CSSEIGIRGL: J), SARIN SSSI SE em) re DOD eh Nn 1,262 
ce hcl Tee Riera NAc ys ete ae Py Ae Ue Prout 
| ie meter BO aye et) Ye Ne er 2,633 
Blood 
UR 1B, MCh, 2 ote aE tl) ae ys es Qo ee a es 398 
YA TE (Cae SAR SS A eae atl ah eR 853 
Peer am ID. Co, ee Be ek ee Mee eae Oe et 394 
PD erentalayysctios Cy Cee Sak MEM eAN SR crets ae Auta aii 708 
PPCUROCLODIieetewe Ske ee eet ok VER Oy Ge BUN NE Vea Si 2nd Pea, ar 393 
SecuiMleY? Vina LESS ay eo lee tin Se OI dean ene i A NE AGRI Stee esi OREM RSS er ty a DREN IE Cl 389 
[as COREL LS, al tc Se ie SCN cy ace en PI an UN ae 435 
UNS M TORN D kre S teraction ae Se A a a RT SA SRR Se a ai slit 5 508 
CG RESDe 2 Dyke 0 oe bbc ly SE ae eee ae lt MONE La OE cole OVD Se ONE OL Me 186 
ulturest( Grater male re eee a) eee ee mn Ok PT ey i en Sk ad ae 9 
one atl OlICeLOrinina ti Olieeee) tes ulunts aoe oer 0c ate eter) Wee boll eee 39 
SOET U1 el sae ene ed cn Mion mimi mraeler «(i alt eave A. Sat ly er ok A Ty Aes Ne ae 26 
Ele USL, Sete 2 oy ot ee oo ne Cay amon Core ait Pe ee ghee hn Se 4,338 
LPverereate iB coset 2 A J Oe pg SRD SRT ey Sa Pe Na ALLL ie ae eh Re ee ER Dt) EER IE Se? 760 
PITeC COU AE RAV ALIS Ui Mba ee Mes es ee Wie 08, Win Na ey eran oP lat 7 Byes ate reece eres 268 
SC ag CEM A ST ea Tape yet, OC he Ri, 03 ies MN A gal RAN St ete RRR Ane cee. SBE ST co RE Ae ye EDR ee” 99 
PEPE el TS eer eee eee ene ae ee Me ae! VAR AR enn 2tky tO Rk ie ee 320 
MING TDP MINOCUIALIONS sheet eet ee ee aN OR Se os ee ea ae 27 
Serined) DIS AULODSV eat eee ees ee ie FE, ms SRT RL Se ENE BA. - 26 
UAT OCULATIONS” ace heya une Se ecm! ie ee Oe es Vi cu es 87 
as Lt ant ODS Vee ies oe) eee ee Cee NN cee Met Ast re 8 ee eae 11 
orp ntialeins: weeks 22 SAG ANE ee Le Nd rem ce a SA as ee a 2 
Gra OOGLUTCApE enema 2 yi ls Mais ee a eR 6 
POCRUIPIN DL VSCa =< eli tet ey Nhs gle Ne Oe eae ee So 7 ee eee 2 
DO PRULIN ALY Ses VIETOS So tele tee n We ys Vay Re eee SO ae 2, 
Wem OCUlNtIOl ome eee hu Ante ds ockeelN Peat eae Jy Ue eels ee 6 
RAAT LOTS Vee eee at oe ms Phas woe eats tall gee ek Ae Pe aa 1 


26 ; AwnnuaL Report, 1923 


COs tension 3& 682s 0 oe oe As Boeri Sn pi 31 
Basal metabolism determinations... -_ eu) GUNES sei ere 71 
Additional air analyses... -20 02 oi Lo oe bea Hs od 8 22 
Gastricsanalyses HCL only_.___ 2-2-1 ee en 29 
Pus from lymph node in neck: 20. eee ete ee aoe ee ie 1 
Spinal fluidss. 22.00. So 0222 22 Sk ae See ee 4 
Pleural: fluide.2. 02. 2 LoL Le eh ere ee 19 
Milk culture: o. So a ee eee ee 3 
Water. culture. 2220 2 2 3 
Culture from throat._.._.__--- RE et aes en EY ee oe Soe 1 
Smear from throat .f2fi024 Se UE re ee ee aoe creel oul 
Saliva test for acid and free’ HCL... (Se 5s ee eee Sy aeons 2 
Glucose tolerance: 22. 220: SS 1 
Naliva reaction. [oui 020i ee ee Rie kt ie eth mice x 4 
Scales from‘skin eruption: 022222002 2 eee Tego: Bek i, oe Rae 1 
Discharge from ear 2)... 3 ee 1 
Pus from axillary abscess... 2. DoS 2 See 1 
Pus from abscess) 50.) 20 a ee Ps Si tow, a a 2 


Total examinations and ‘testSoo 2!) ot ee ee al hy 209 


Tae Nortu Carortina SANATORIUM 27 


PRESENT CONDITION OF ALL INCIPIENT PATIENTS DISCHARGED FROM THE 
SANATORIUM PREVIOUS TO JUNE 30, 1922 








Year Discharged 











Condition on Condition June 30, 1923 ee, LA crete vie Ae ES aE RE eek ae MU 

Discharge To- 
1914)1915}1916)1917/1918}1919)1920 1921/1922 tal 

hivingsand sw orkingse! 262 eae ees OF eon Orem Oe LOS Dsl 2nd 5 

aa Living and not working_-________- OF ROS ee On an Ome Ou OS (ee OitnO 7 

DSA eee ess Bee a 2 0 0 0 0 0 0; 0} O 0 0 

POS sree ewaene eric Vt a ee OF OF Omen ELON lai On Olin 0 y 

aparently Living and working... --..---.... PUG ober sin ls) 15 190/18) 1 12 4-158 

eee Living and not working_.________ 1 1 2 3 3 De ae Sao ae2O 

210 Veer ty hla! SLAP ta Wal Ee set sk cbt One ta roriaan: (Ob Bi Bala tet Qi Ts 

Ost tee a UNS ele! a MAGS 2 Dee eee 0 1 2 1 1 1 1 1 0 8 

Living and working..--_-.-._____ 3 3 8) MAE So PANNA RP AUS || E 9 | 97 

Quiescent Living and not working. -________ 1 0 1 0| 0 EHSL OS eee Varese Ls 

141 DD Gad tag Seis PUN Tak oe ws Se 1 6] 3 OO Olin 2 | Le ee On ee Onna tet 

JECTS BL Se cele gia, Sem. L/h Perea ANE a a 0 1 3 1 1 1 | 2 3 1 13 

Living and working..--_-________ 0 Aa eh One ta ANE SM Otis U4 Gl 

Improved Living and not working.-________ CSO ee te Ole See dea ep 1g. 

- 93 iE) eer Cer ales Wey eniee aerate Week Lo ea A 0 1 0 1 2 2 0 0 0 6 

ROS Gomer eee tile Ari ee Love a lh) NE eae il 1 2 4 0 | Reali atk 0 0 10 

Living and working___.-.___-____ 0} O 1 1 LP OM Ole Oia 1 4 

Unimproved Living and not working.-_______- TO Gel Ok sO tOetio elec Qe ox 0 

5 VD LeFee fee DALI Cee ie ety ale ae ated 0 0 0 1 0 0 0 0 0 1 

MOSt ee ete ete sae, cos be 0 0 0 0 0 0 0; 0} 0 0 

Living and working.--__--______- 5 | 18 | 54 | 65 | 60 | 87 | 52 | 46 | 28 | 365 

Total Living and not working.-_______- 2 1 6 3 iS Sab e tS i OO 

508 BD Pees by Ne No psdsies Seay = lalesete cai oe EL LRP SY hac OW mere | leo weiner mamta eae (ose ey 

TE OSE Mere Mee ene: noe cere a EAL Eman 1 3 7 SS 2e DAT Se ea Tae Se 











28 ANNvuAL Report, 1923 


PRESENT CONDITION OF ALL MODERATELY ADVANCED PATIENTS DISCHARGED 
FROM THE SANATORIUM PREVIOUS TO JUNE 30, 1922 


Year Discharged 
Condition on Condition June 30, 1923 


























Discharge | | To- 
1914}1915]1916]1917|1918|1919|1920,1921,1922 tal 

A Av Living and working!) = —) 22 pease 0 4 7 0 1 1 2 0 0 15 

‘ps ti Living and not working_-_________ 0; 0 1 0 0 Os ORO mianO) 1 

Dead. 3p ee ae ee Op OR OM Os sc On i Os) 2 On| ae OmianO 0 

ThOSt ind: a ae 2 Ona 1 OPE ON Ons ONO 1 

x tl having and working 22s) sss ssse 3 0 4 Oni le pa & 1| 40 

earn Living and not working_________- 0 1 1 0 2 ONG Salero man Os m2 

as ‘: Dead.) te a tt ete dle do ki 030s Oa Oh aan 

MVORU AK bp Be nl ee Oy Os 1 OF OF Ose OneeO 1 

hivano and working sat =a ene See ala eOom ele POOL OM avelnolMe LOS 

Quiescent Living and not working. ______ teal OE BE Oe LOE 4 a TO Soar Lone 

410 BBY: \e eee OMe Sl aes A oT. IS e20e SOR 25e eGR Blogads om mnt SS 

OR Ges ee Ee ee 0 2 2 2 3 2 1 0 13 

siya 2 van Gow. O7 kc eee 5 Gal LOM el Sale ZAG lStie loa Om me oe 

Improved Living and not working- -________ 04.0 ty 25) eo tletel) ach Lhe Ba 4010236 

260 DD Gadecat. § Math ao ne ee eee PA ave Re PAO) | PAD aR Ap ail TE 8 We y¢ 

Tyostiet) S282 eile Lat TOR 0}; 0} 0 1 1 ee oe) kaa xe 5 

ivin gan awonkin gees ae eee 0} 0 1 0 0 108) toa 3 

Unimproved Living and not working_-_______- Op Os mOsm 1 Oss eee 0 7 

58 Desa se hoe Pas Meee pee oe eee 1 Gi eves De Sy a USS Pari a BT 3 i Ieee 1 

lyost sec ent kod ee ane ee Oe Oe OP Oe Oy | ZuieORanO 2 

Living and working_-__-________-_- 13 | 19 | 39 | 51 | 52) | 44 | 37 | 47 | 31 | 333 

Total Living and not working_-________ OM tap OU 2 Lae Sal One eoe ja lon e122 

803 Dead ce Se See ee 38 | 45 | 65 | 59 | 45 | 33 | 22 | 16) 8 | 326 





Tue Nortrn Carortina SANATORIUM 29 


PRESENT CONDITION OF ALL FAR ADVANCED PATIENTS DISCHARGED FROM THE 
SANATORIUM PREVIOUS TO JUNE 30, 1922 








Year Discharged 





Condition on Condition June 30, 1923 1 bo a) ee oe NDS Sa ites Per LE Lo 
Discharge To- 
1914] 1915)}1916}1917)1918}1919}1920| 192111922 tal 
ILiniouayen yay! Synove Wave 2 | OT OG |) Oh OOP ho) aw 0 
Arrested Living and not working.________- 0}; 0 0 0 0 OF OTR OO 0 
0 HB YSTE To ee tees gob PE ye, ec i OF OF Os Oe Ost On| Onin Onin O 0 
OS Ua ey seat seme Re ie a oe OF Oe BeOS ee Ome Ont Om ec Onviars Ostaen 0 
Popatently Living and working.. bse Adih hele Onl Ooi Ormnusy 2 0. Ost Ose O16 0 
ae Living and not working--_______- Oy Mie Onl 0 1 OFF Oe 20) 1 
IB Yenve  Se? ES ee ae eae ae 8 0 2 OF OF SOR On 0 vhaeO. lee On| Onan 0 
} LOSE 2p hs Ce ee Oo WD Oah OU SOR Oar Mey alo 0 
Mivnro and oworkingees 2) seen. 0 4 093 5 5 5 4} 4 (AN wet 

Quiescent Living and not working._________ 0 0 1 1 3 2 4 7 oi) Pal 
117 1 OYeao fs PSE eee Coy eee eae) SRL LOR ore eeStienO! Sea RO! eno 
TEBE a Na Ss ae ee Ree OD eel Te Sie a yh Oa AO 6 
Pivaneeand. workings: 222.) --_o-- 0 2 2 3 3 AS Anne 24 
Improved Living and not working_-________ 0 2 2 1 2 1 2 8112) 30 
228 1D Yee Se Se aa ep ee ee Ee ZO MeLOPy 183 SOM OM teiledise leZonlie ta) 168 
MOS tee Ae Perk BUA A Re ae ett OA A a TAOS elle We) Pasa 6 

elvan Cea OW OF Kill oes eae ae ee Oe “Ot 1 1 On OMe 0 3 

Unimproved Living and not working. -_-_-_.____- OP Oe Oa TO OA OT eS eee ee 9 
235 IDYehie to, Rea as SS Ree ae TOME UGs eS elGeimoon | aomle2s. etn eo telmaoe 

NG fot ee CC SE eget ed ee OO HO Oy Oe ae al ag 1 

Living and working. 2). 2622 222.4 OSV Gn tome 9; 8} 8}| 9] 10] 64 

Total Living and not working---_-______- Opes 3 2 5 4/ 81] 18} 19 61 
581 WYSE Ne Wt Es), Bales te ed er 42 | 46 | 41 | 58 | 58 | 46 | 40 | 74 | 38 | 448 


Bo ee ee = Ee ARE ED ee eee De Vet rol fuera sec Teh GocrecQ! ie 2ele dah ds 








LITERATURE OF THE BUREAU OF TUBERCULOSIS 


Bulletin No. 61: 
Tuberculosis—Its Cure and Prevention. 


Bulletin No. 92: 
An Act to Prevent the Convicts or Prisoners of North Carolina from Contract- 
ing Tuberculosis. 
Bulletin No. 129: 
County Tuberculosis Problem. 
Bulletin No. 202: 
Tuberculosis—a Lecture for Teachers. 
Bulletin No. 1000: 
If There is to be Democratic Equality of Opportunity, There Must be an 
Equal Opportunity for Health. 
Bulletin No. 1003: 
Fundamental Principles of Public Health Nursing. 
The Next to Go. 
The Story of Four Generations. 
Is Your Muffler Working or Your Cut-out Open? 
They are Dead. 
Résumé of the Survey of a Silk Mill Village in North Carolina. 
The Tuberculosis Clinie. 
The Incidence and the Importance of Pleurisy in Early Tuberculosis, by 
|. Dr. P. P. McCain, Sanatorium, N. C. 
Health Bulletins of the State Board of Health for November 1920, November 
1921, and December 1922. 


PERSONS FROM WHOM DONATIONS WERE RECEIVED 


Sunday-school literature: 

Miss Grace MacKinnon, Bennettsville, 5S. C. 
Magazines: 

St. Peter’s Parish House, M. D. Strong, Librarian, Morristown, N. J. 
Mrs. J. R. Page, Aberdeen. 
St. John’s Church, Mrs. E. W. Norris, Librarian, Hampton, Va. 
Mrs. G. R. White, Southern Pines, N. C. 
Church Periodical Club, Mrs. Emma H. Carroll, Chairman, Philadelphia, Pa. 
Miss Mary Keller; Southern Pines, N. C. 
Candies, nuts, apples, etc.: 

Southern Pines Civic Club, Southern Pines, N. C. 

Mr. John T. Thorne, Farmville, N. C. 

Miss Emma Dale, Farmville, N. C. 

Pinehurst friends, Mrs. W. B. Merrill, chairman of committee. 
Clothing: . 

Pinehurst friends, Mrs. W. B. Merrill, chairman of committee. 
Potted plants and flowers: 

J. J. Fallon Company, Fayetteville, N. C. 

Scholtz, the Florist, Charlotte, N. C. 

EK. Morrelle, Florist, Southern Pines, N. C. 





ORGANIZATIONS SUPPORTING AND ASSISTING 
IN THE SUPPORT OF PATIENTS 


Pivencas hedsCroce Davidson... = 22) toe. 2 el BM mH ea ore 5.0 HUD MET 
Pierce nited-@ ross, Gastonial «90 ee MR ae Bee Om heey vac ieee 
American Red Cross, Goldskoro________-----_.- ST ate haakel BO eat tee Mp al 
American Red Cross, Greenville. ______ 22.220 222k Boa) Nispeig edt Apa a 
American Red Cross, Guilford: County... cee ee ea ety cada Raps Lilies 
American Red Cross, Henderson__-_-__-_. hed eed 8 Hel ugh deo L225 i LMR 
Purerican red Cross, Hickory 20. * 20 22 eee AIR Ge MCR as plan Se ss 
American Red Cross, Kinston__________ RR SG TSE NOR NEE! # Lal) Ae OMG amd Se. td 
maneetCanrat ed ross: Maxton (oO Ed, GAM yy Te ADS Apne A Poe Mi 
minertcan Red Cross» Salisbury. oo). Ve vie mses a at ok be Ta 
American Red Cross, Sandhill Chapter, Aberdeen________- Fi Ae es i a 
Pericaimied (ross, Raleigh. wet ea ieee ey FRAN AP Lier SNS 
Altamahaw Cotton Mills, Altamahaw_.____- eich Mace eal [| 2 ee TAele saloehine BUI, okay 
ree ECO CONC a ty) Le Sag TR eS Pe STR A ea 3g 
Board of Commissioners, Mecklenburg. __ _- Esai NYT OP abs ila eet, alee 
Board of Commissioners, Stanly__._._____... shee WA ag) Pa Biot SAPS ag ate 
Board of Commissioners, Surry____________- ns MER he ei, Ren ae ae 
Board of Commissioners, Wislanwa.) eee Meek Seem ta eens Es va 
Centre Brick Warehouse, Wilson.__.________ pie: Ae NCA lig =. 81 Be Rebs Ho 
Council Tool Company, Wanantish Jala youd ye oe ae yet 9 ae Benge JOA 
District Nurse and Relief Society, Greensboro._._._____-- tyke tale Pepa 
Durham Hosiery Mills, Durham_---_..____-- MUP yt 0-hy STORIE Peps tS OSIM 
Erlanger Cotton Mills, Erlanger. __________- WR ag nF. iu ia ON Bena a say a ae 
Health Department, Charlotte_______.____- LU AR ET Le oS PENNA: Mn Ne SAA 
PeaitneDepaniments Durham) sc 0b a oo geeks. slate) 2h et Mine eeL 
Health Department, Winston-Salem____________.-___-_- By i eer cee 2 Ae 
Perea ia SON ee pug et Bae ey as tea ee ne 
Lawrence S. Holt & Sons, Burlington____________-_- C4) nee 5 Japan Le ee he NS 
-Loray Emergency Association, Gastonia___..__-.-.____-- MAES RON EO Gre diel 
ameercumirerecnipaty «G@harlottecin eer eh Us ee a ae 
Nieshodisu Churchsepenceren a. Seas feeb. eck clewec eels Nene, emcee nent 
Missionary Society, Roars (LG hUrCh ee atiril DUO mss er te eee gees kee cua 
Mutual Building and Loan Association, GiHarlotientee so eau acre toe 
Perr Merce Dirhams Oe OI a Te Sve seek ee 
Norwood Manufacturing Company, IN Gr w 00d Sater cao tar ar he es eae 
N. C. Federation of Women’s Clubs, NCES ete Memorial Bed Fund_---------- 
[cycle LE everdhied BYTE ia Reie ialeie CLG URE Le bec ue Ree, 0 2 2 aye Oc nr a a Rae ape rare een 
Popular Fund, 1 VUE Ay See CTA 9 00 UR. Fo i cae a ea ap aa me cl EEN 
Popular Fund, PRR OTISSV le emer ae ee DE Lee Cee anata Pa md ioe hee ee re 
Popular Fund and Public Welfare, Boone. _-__- Fisrie epee cit Wit iatt sore eye oeee 
Presbyterian Sunday School, Charlotte. _______.____- ileal el eral aes cco tae are 
Presbyterian Orphan’s Home, Berit Oi ties tke rei aman be Cir ene se ee 
Mublic-Welrare.C)mtUon gs 22.42 ee Fig RN mad 4 eieimed fy AU Mem nae Mo 
Public Welfare, Greenville. ___- Rewari Aan a Pee Nan CAN Pave emer. ApS 
Tc WWelare, LLICKOLy Gina la eel “Etna A OS te fs 2 a AOR A ETERS 
Pop icavvelare, eichy Pointy b packe Seie gt: Dieters eel oot 1 lh Boe areal 
UE WieliAre | KINGLON Ss cits dul ates ie DAA Soh ie ee le be ie Cee 
Pe pe CLOTS SEL Vel O ye artes See eo 8 cae) sae te Meme mI es ES SMA 9.8 i hus 
PLICAVY CLIATE ML DOMaAsV Ile a e ne ot eee ele oh ea a ae TN yea Ba eh! see 
Roanoke Mills ‘Company, adr oketRapids:, ces cuut sme nen ea edt 2 ier 
Rosemary Manufacturing Company, Rosemary Soule 6 ee lay ied Achy) 4 ban guts at Se aaa te 
etree C libandwopulay bund, malishury.c. wr eee ethos. 7a so elle 
Peo e PCH av Bs008y Greens DOlOg als cae sone ia Pace on. a sae ee Ne 
LE mOrOLGruoodmmaleigh Wd Sk eee bee ae ee Oe ee 
St. Peter’s Episcopal Church, Gharlotteéwa:ws #3 vhs tae hina cis Beedle es 
Salisbury Cotton Mills, Salisbury EA RRA ae a A ML ORE ST ge oe ee he 
Sieve COCLOME VM lemolell We... a Oke me aes NR ua. siete Shean ee 
State School for Blind, Rakeight here Ol oe Pee ee wee ales Pe SR er eee 
Philathea Class, Brown Memorial Baptist Church, Winston-Salem --------. ---- 


32 ANNUAL Report, 1923 


Tuberculosis Association,..Bburlington _. 3.9.5. 2. ae ee 
Tuberculosis Association, Cabarrus County 
Tuberculosis Association, Concord. _______-_-----.--- 

Tuberculosis Association, Davidson 22221 0h. 32 ne eee 
Tuberculosis Association, Greensboro 
Tuberculosis Association, Raleigh. _— 24-2. ae ee 
Tuberculosis Association, Roanoke Rapids 
Tarboro Knitting Company, Tarboro 
Woman’s Club, Raleigh. 002222. 5 3.22 ee 
United Daughters of the Confederacy, Free Bed Fund_._...._--.---_--=_---- 
Young Men’s Christian Association, Kannapolis-_ ______- at eee S SAY clekstee 
Young Women’s Christian Association, Durham... ee eeee sees ae eee 


REPORT OF AUDIT 


RaeiaH, N. C., November 14, 1923. 


Hon. Baxter Doruam, 
State Auditor, 
Raleigh, N.C. 


Dear Sir:—In accordance with your instruction, we have audited the 
records and accounts of the North Carolina Sanatorium of Sanatorium, 
N. C., for a period beginning July 1, 1922, and ending June 30, 1923; 
and herewith submit the following report as a result of said audit. 

We made our first trip to said institution during the month of May 
to check out the retiring bookkeeper, and then during the month of 
October to complete the audit. 

In most of our North Carolina institutions the books are kept purely 
on a receipt and disbursement basis, and our audit shows that the books 
are neatly and accurately kept and all funds received properly accounted 
for, though in many instances the expenditures are erroneously classified, 
and without a reclassification it is impossible to make an accurate 
operating cost statement, and to attempt this at this late date would 
consume too much time and would not justify the expense. We cite 
the following instances for your information: In Schedule 8 there 
appears an item of $4,700.89, classified as miscellaneous expense. This 
was for equipment of various kinds for the different departments of 
the institution and was paid for from maintenance fund and receipts 
- from patients. Schedule 7 shows miscellaneous expenditures amount- 
ing to $11,857.24. Transportation and drayage and freight and ex- 
press show large amounts. These accounts should be thoroughly 
classified and charged to specific accounts. 

We call special attention to the operating cost shown by Schedule ~ 
8, which shows only cash expenditures and transfers from dairy, farm 
and hoggery, and does not include anything for depreciation of the 
fixed assets, which is a legitimate part of the operating and maintenance 
expense. Our reason for not including this charge in our statement. is 
because it was impossible to ascertain the exact amount that should be 
charged to the period under review on account of the fact that during 
this period the old power plant had become useless and was discarded 
and it would have been unfair to have this period bear this full amount 
($65,344.84). There was also charged off during this period repairs 
to old buildings amounting to $32,991.08. For these reasons we have 
made a statement of expenses and transfers, but have instructed the new 
bookkeeper what will be necessary for the future. 


I regard the present system as thorough and complete as is used in 
any State institution that I have seen, and I believe is entirely adequate 
to the needs of this institution, when a thorough classification is made 
of all receipts and expenditures and definite instruction has been given 
by the proper authorities as to what part of the equipment should be 


34 AnnvuaAL Report, 1923 


charged to maintenance and what part to permanent improvements. 
The present bookkeeper is competent and interested in his work and 
has improved the classification. 

I realize the fact that being many miles from any bank and the 
necessity of having a large amount of cash on hand to buy judiciously 
of country produce or to meet any immediate needs that the institu- 
tion has, that a large amount of cash purchases have been made, but 
the receipts reconciled with the bank balances and the cash on hand; but 
I believe a better plan would be to run a petty cash account, drawing 
a voucher for a sufficient sum to meet the monthly needs, to keep said 
amount in a separate drawer, and to make the deposits agree with the 
daily receipts. . 

I desire to call your especial attention to a matter that needs to be 
adjusted with the State Treasurer: The appropriations for the past 
year were as follows: Permanent improvements, $199,500, extension 
fund, $15,000, and maintenance, $85,000, making a total of $299,500. 
The State Treasurer has deposited in ‘the Page Trust Compny of Aber- 
deen to the credit of the institution the sum of $290,550.58, leaving a 
balance of $8,949.42. The Treasurer’s books show that this balance 
is due on maintenance, which if not spent during the period reverts to 
the State,. while permanent improvement appropriations remain still 
due. It is claimed at the institution that they had no notice as to what 
the amount sent covered, and they show that this amount is due on 
permanent improvements. I have not used this amount in my list of 
assets, as I thought best to wait until the matter was adjusted. 

During my examination every courtesy was extended me and every 
facility offered to secure the information desired. 


Respectfully submitted, 


J. J. BERNARD, 
Certified Public Accountant. 


Exhibit 


Schedule 


FONE 
og ee 
(a9 ] ” 
A a 
‘ae 
EF Be 
Sie ay 
toe 
iy ee, 
66Q7) 
NO eka 
ae 
(a3 ee? 
nye? 
Cy phe 


INDEX TO AUDIT 


Balance Sheet—Assets and Liabilities. 
Receipts and Disbursements. 
Reconciliation of Cash Account. 
Fixed Assets. 

Inventories. 

Reconciliation of Bank Balances. 
Accounts Payable—Unearned Receipts. 
Trial Balance. 

Summary of Disbursements. 
Operating Cost of Institution. 
Dairy—Profit and Loss Account. 
Hogs—Profit and Loss Account. 
Farm—Profit and Loss Account. 
Recapitulation of Milk Production. 
Monthly Salaries. 


BALANCE SHEET, JULY 1, 1923 


Exareir “A 
ASSETS AND LIABILITIES 


ASSETS 

Cash in drawer oo. So S220. 2 os cee $ 2,662.80 
Cash in Page Trust Company, Aberdeen, N. C._____--- 12,964.68 
Cash in Page Trust Company, Raeford, N. C._____-_-- 28,156.93 
Fixed Assets, Schedule:2.2. 2s)" 3 eee 690, 567.35 
Inventories, Schedule. 3:2. 2520 5) 3 ee 95,800.29 
Total ‘assets oo se Ue ee eee 

LIABILITIES 

Outstanding vouchers, Page Trust Company, 

Aberdeen, (N.C... 22002 2 eee $ 12,554.55 
Outstanding vouchers, Page Trust Company, 

Raeford, N. G.22. 20... og ee 26,570.18 
Accounts payable, Schedule 5_______.. JUL 2 Sees 15,575.26 
Unearned receipts; Schedule Sale22 Ves) Dee 2,700.00 

Total liabilities. — i207 i eg ee 


Balance, net worth July 1, 1923 


Exureit “B” 
RECEIPTS AND DISBURSEMENTS 


Fiscat, YEAR ENDING JUNE 30, 1923 


RECEIPTS 
STATE APPROPRIATIONS 
Permanent improvement Jund? 26.24 2. ieee $190, 550.58 
Extension fund 2 ced 3-22 foe 15,000.00 
Maintenance! 22. Sats a ey 85,000.00 
Totalvicec. occ Sa eee 
SANATORIUM EARNINGS 
Board and ‘treatment..22 o/s Se ee $ 96,569.79 
X-ray examinations: 4.24. Ss ee 1,899.50 
Totalos 20 22 bo og nk 
INTERTRADING ACCOUNTS 
Laundry-- _._- ma wr ot ee ea ces 
Hospital supplies-_ _____- ee arena Doe ae ae ae 1,729.09 
Telephone.and telegraphs 2.5... see eee oe cks coe ee 386.57 
Parnis.¢ cio 2 eh Se ioe 0 Paty ere Mee ek Nar Dies pe Aa) 1,762.87 
Provisions - jel a a ae ae ee ee 440.52 
Dairy einb oe eI 6.25 
Eransportation and drayage: 5 oo) oe 19.02 
Reirigeration Ao le ee eee se 115.00 
ORB SIE er RO iy Sa ane 72.00 
Old laundry machinery) s,.00 ne Geeeenee AOE ie Se aN, | 500.00 
Miscellaneous !sic ghee 187.30 
Total es 


$830, 152.05 


57,399 .94 
$772,752.11 


$290 , 550.58 


98, 469.29 


7,316.10 


—_— 


$396 , 335.97 


Tue Nortu Caroitina SANATORIUM 


DISBURSEMENTS 


PERMANENT IMPROVEMENTS 


State 
Fund 
Repairs and equipment, operating room 

ACOIME REN rh oe ee ee eh § 197.52 
Neero canatorilm oo. ...0-.-.. 2 68 , 484.90 
Dining-room and kitchen___.__________ 72 918.10 
Assistant Superintendent’s residence____ 1,819.96 
Repairs to Flannagan Cottage.________- 1,394.18 
Hrrenem equipment)... 62 ee 10,569.39 
Power-house and laundry_______:._-__- 30,488.46 
Light equipment and power--,-.-- aA ine 566.58 
Pee MON ce ee 13,050.00 
ee ar rma eanee ene A ik ST aE 235555 21:7 
Paporatory equipment .2.....4.5-....._- 270.00 
Povepatrneand silogy 2200262 Lf L ba c00 
Negro physician residence____..._______- 7,856.50 
ne Ieee eee eh ae Sk $210,883.41 


EXtTrension Funp 


LS LE MGore PRS 8 |S) Sa ee ae ee be Pe $ 9,175.00 
ieravenung expenses #2500 al iUL 2,288.47 
Premuroand wires... 22.0... ..2 2 525.86 
Books and Sia OMe fact leer eet SL DAA AEA WES) 
TC oe ES 3 SS ee a 621.35 
Pisce llonogUsme gute Qe 139.27 
ANP ACES aC ol 0 a a tes nS Be ee $ 15,000.00 
MAINTENANCE 
Salaries ' 
Cae SH AUS Oe, Esa ee PT $ 9,183.80 
PROC emacs. oe Bx oo nO4 
Nurses and attendants__________-__ 4,573.95 
(Wooketandsserval tsar no eae 2 12,698.16 
IIISCCUANEOURS = suK Soe te tas 
DION REN SrtA eC Ah ae on a Te ag a a $ 30,178.45 
Supplies: 
PBCOCINOTAN GELINer 21 = ease eee $ 1,962.02 
Crockervmancd.silyCla. cpamurg-s i bee ee 797 .00 
Prue erea noe ied (Cl NGos ha eee em 1157-15 
DiiscellaneouUcessaue 25h eae s, panes 4,963.77 
SOR perc. era em RA ee $ 8,879.94 
Provisions: 
Pe barre meee ee ae a ee $ 6,289.05 
BUGLE A ea ee noes 2A We ee 834.13 
ig ote te etn et | eG eas 2,230.71 
mar table PDRLEUL ties, oan ks eh ene 15851.38 
TOCCTIOS ae Ae PE he. ce Spey te 5 , 342.34 
Totaisuemmhmeas eaten. (0%) $ 16,547.61 


Sanatorium 
Fund © 


$ 1,388.23 
961.66 
574.00 
334.12 
960.00 


$ 4,218.01 


Cp EBs: 
2,359.18 
1,554.27 
2,927.09 


$ 9,373.87 


$ 12,491.23 
1,897.42 
4,242.60 
3,853.89 
14,046.92 


$ 36,532.06 


37 


Total 


$ 210,883.41 


15,000.00 


34,396.46 


18,253.81 


53 ,079 .67 





38 ANNUAL Report, 1923 
State 
Fund 
Equipment: 
Furniture and fixtures__.......---- $ 125.46 
Instruments.) ese - eee 80.63 
Miscellaneous :2-3---- oo se eece oe 193.06 
Lotalice Sew eee oe $ 399.15 
Office: 
Equipments". 3 2 s2) eee eee $ 28.31 
Stationery and books_...._-.------ 91.99 
Stamps-. 22 soe ee ee 36.50 
Miscellaneous: {222 ogee 158.98 
‘Total. - pean eee ee ee $ 315.78 
Power and Heat: 
Labor oS Se ee $ 1,601.75 
Supplies. 722. | eee 4,876.49 
Total se. (eee eee $ 6,478.24 
Light: 
Labotsc. see eo52. eee ee $ 500.50 
Supplies. 23.2 20s 2 ene 60.86 
gquipinent 2... ee eee ee 
Totals sss a ee eee $ 561.36 
Water: 
aborts ahh eee 2 5 eee $ 499.00 
FUQUIDMENL es ee ee oe 344.55 
Supplies 2 22 seeee ea oes eee 29.72 
Total ck SNe a 8 ee ln $ 873..27 
Refrigeration: 
Laborsc acento a. oh eee cee eee $ 498 .00 
Hquipment2 see sac oo ee ee 14.80 
Shipplies@ 2 a ae 
Lotale eee a ee ee ee $ 512.80 
Plumbing and Sewerage 
Laboraee ae eee. hae eee eee $ 498 .00 
Equipment 222 oe eee 21.00 
Stppliess* Sas 2 + Sees 47 .04 
Tilesep cee ON nent 
Miscellaneousiae ie 2.1, 2 aan 
Lotals.222) 422 7) ee ee $ 566.04 
Farms: 
Buildings ge taevc oor nee Lae $ 81.24 
Live-stock seater’ ues ee ie 450.00 
Machmerveand tools Jt ee eee 625.23 
needs and) fercilizers2s.. naeeee anes _ 2,592.33 
Feed ogee = A ee est og teen ee 030.14 
Labor ces peta en: in eee ee 1,687.22 
Miscellancousie ant 0. go ae 
Lotalar 2.2207 ee $ 5,971.16 


Sanatorium 
Fund 


$ 11,680.38 


317.04 


$ 11,997.42 





$ 28.74 
186.61 
499.00 

5.96 











Soe 720. 51 
$ 168.37 
9,456.18 

$ 9,624.55 
$ 45.00 
214.44 
111.84 

yonehey alors 
$ 47.40 
4.00 

109.52 

$ 160.92 
$ 45.00 
70 

25.70 

$ 71.40 
$ 47.00 
33.87 

6.25 

350.40 
29.25 





$ 466.77 


$ 1,703.63 
275.00 
771.20 
604.97 

3,187:75 
4,054.51 
59.63 


$ 10,656.69 


Total 


$ 12,396.57 


1,036.09 


16,102.79 


\ 932.64 


1,034.19 


584.20 


1,032.81 


16,627.85 


Tue Nortu Carorina SaAnaToRIUM 39 





State Sanatorium 
Fund Fund Total 
Dairy: 
Repairs , buildings and silos_______- eee ey $ 137.00 
Pive-clOCKeir ts. 2 eee 2 ENS 961.48 446.31 
Pitesti ase Ve 462.74 222.12 
Buppiicaemmarter titer 2 ceed ido bo 425.69 696 .05 
[PSG0la.o 5 oo ee ee ye ee 1,015.16 8, 742.60 
US) TYG al a aR tly Bs Sea 2,108.09 345.44 
VISCO ANOCOUS fens. oR 9.00 27.78 
SMG ited ae bad ee a ae ie $ 4,982.16 $ 10,617.30 $315,599.46 
Miscellaneous 

NATE. 1G lS et as a $ (ieee) 491.64 
fr ainimoecchools ea. 2.002... 208 52.57 259.68 
Telephone and telegraph._________- 867 .68 443 .00 
Settee eee A ee 2,568.26 4,348.57 
Transportation and drayage__.-_-_-_- 1,409.44 1,516.22 
featieliie rerund 22. ee eo 374.68 2,247.35 
Pireight-and express. |... 2.2. 152.59 1,639.92 
nye eee SN ee 53.25 1,101.41 
“UNTO SCOR) foe ae eee ee D2 SO Maes a ee 
RIEL ca, SEI ae ae et a 1,104.95 1,094.22 
HESISOC LOR ee 238.64 258 .29 
Ey C25 OG ee eh ot 254000 Bireee LS ec! ee 
DenvicenVyetOlUe oli. lee le lee DAS VAG gpa e cos Soe 

Furniture “and fixtures, Superin- 
tendent’s residence____-_-_--_--- LAG PDO ee 320 ee 
iimectorsaexpense.... 2. -----+ TAD ee 20 ey rae 
Repairs moprun, Cottage) 222. 202 Te Ome erate. oe 
Extra employees’ house____ .____- cod ph laeetnty AS 975.70 
Be ereUm ann Oee et che A Pe 709.24 
Ov taGlisemen Scene 2S oT 3,211.42 
RUCICO UO mV See Sat Cee US bee 1,489.47 
Awnings for lama PINS Mao a Ae i Aine ae 566.00 

LG AE hs, eed Oe 2 ee $ 8,734.04 $ 20,352.03 29,086.07 








sea mts OL SCIONS ure e nek et et ee eo eee $426 , 046.02 





GENERAL SUMMARY 
Balances July 1, 1922: 


‘Cash in Bice re reteset ee ee te os on 420045 

Casb in Page Trust Company, Aberdeen_-__-___-_ -_- 46, 768.20 

Cash in Page Trust Company, Raeford___._-._. _-_ 14,365.98 
ist a er eee Mere ee eS pee Aon gs $ 63,554.63 

Less Outstanding Vouchers: 

Page Trust Company, Aberdeen ___.$ 26,025.24 

Page Trust Company, Raeford._... | 3,159.61 
‘lotaloutstancding aa eee tee ee ee 29,184.85 


True balance JUV O27 eee ee es 2 ee % 34,369.78 


40 ANNUAL Report, 1923 


RECEIPTS 
From State of N. C.: 
Permanent improvements- - - - - pecs $190,550.58 
Pixtensioniee Gees a2 Uae ae ee 15,000.00 
Maintenancenhei oe 28 aie ape ce) 85 , 000.00 
Oo  Potaliy boa 2.00. eo wee $290, 550.58 
Sanatorium earnings. ___._---_---- $ 98,469.29 


Intertrading ‘accounts.L.UG 2.2. eee ome 


— 


Totalieseol ue. ak ee be! 105 , 785.39 





Total to-account fors..-Je.2.. ee ee $430, 705.75 
DISBURSEMENTS 
Permanent improvements____________-- $210,883.41 
Pixtensioticd (242 eaee ay Coe een 15,000.00 
Maintenance cea eee 2200 sie e es 85,000.00 
Total appropriation expenditures____._.-_.._... $810,883.41 
aintenance from earnings. .2 8. 22. 2 ee 115,162.61 
Total disbursements... - 22205 2..2 2 2s 426,046.02 
Balance on: hand, July. 1j49282° . Cols $ 4,659.73 
BANK RECONCILIATION 
Cash invoffice. 20a UU Pe $ 2,662.80. 
Cash in Page Trust Company, Aberdeen__---------- 12 , 964.68 
Cash in Page Trust Company, Raeford_-_-_-._..-__-_- 28 , 156.93 
Dots ot iia inet at ble ante ae eae $ 43,784.41 
Outstanding Vouchers July 1, 1923: 
Page Trust Company, Aberdeen__._-$ 12,554.55 
_ Page Trust Company, Raeford. _ -__- 26,570.13 
Wotal ws. isk el a 39,124.68 
Balance as above...) ) 2.) ae _--$ 4,659.73 


SCHEDULE ‘‘T’’ 


RECONCILIATION OF CASH ACCOUNT 
Fiscan YEAR ENpING JUNE 30, 1923 


RECEIPTS 
1922 
July cl AY oy Rea eee! 2 1 ES 8129805 
AUCUSt 2s feu te een 5 Sy te ee 9,850: 72 
peptemberdd 2s sae nl, Sal aie eee Oe 
October ___ _- Pallet 2) ‘yA kMew tee 8 ap 10,044.99 
November ae see dine eavear ee Sena 8,265.01 
December! 02.0 mee 0 oar ease 8,610.17 
1923 
UENAV) EN ia gle ai inte rea eh, 8c 2 ene Peek SC 10,545.00 
eUriary i. oe ie So) ee ae ae 7,780.65 
Vie re bits 900. rd Rae ie nt oa, ee Ree 9,197.01 


Tur Nortu Carorina Sanatorium 


ESR, oP AS Ubi Se Shae RGN ha a Jaros $ 8,189.68 
DRI Un Met Rees CML ee a 8 Lee gee 7,612.38 
PIDSLEM DR PGRST a 1S son san psd Mala gS Aa DN a ee $105,785.39 
Meeoriiicew UL O22 ra eee 2, 420,45 
ca AC COUG LORE s ee i) ue Rilke: | oa oy $108,205.84 
Deposits Pace Trust Company, RArFrorD 
1922 , 
ee eee ey. bie ee ee BY 8, 400.00 
Pee em, BAN ee a ea 8,406.04 
eeIN Der ier aay a ae a 9,698.21 
NSCS ME“ Tes 2 Uae hg Mee a LOVOTORET 
Beretibete ae iia eo Ae ee 6,306.82 
COM peters une U2 ee ee _. 10,474.97 
1925 
pnb uVemerermb ee ee 11,122.80 
CED) OS Se 8,696.36 
ee eee en Lae 8, 356.00 
(ig) se es a LR TR 2 Ree an Us 9,174.62 
Dil Ane i eh pape 6 00.7. 200 
i ee ae ee ee NOR 85098 


arlegdeposivs tor Year... 62.0062. Sok eos eee 105 , 543.04 


Baancemircasn drawer July 1) 1923s. ke eo pe Ma 


SCHEDULE ‘‘2”’ 
FIXED ASSETS JULY 1, 1923 


41 


$ 2,662.80 


Pee em Ae Orouniinmmter Leo les USE ie ed $ 20,000.00 
Pie eeeen mee Ua el ON ge ea 34,750.00 
Administration building and:infirmary 2... 122.2222. 248,000.00 
retro es uOrtiii ay. a cere tL SIT aA ek 85,768.92 
POemIo ro Ara romeuchenet 030 bo ee 99,213.37 
Peereen Ome baer Wie oer ol ee Ne 7,125.00 
OPE MARGE GR” Gee Su AMO Ke SE St ai is. ese aamene RR at Ce 11,400.00 
Hapenmtendent,s residence. Su. 020. uVe_ 21 eet eee 9,500.00 
Assistant Superintendent’s residence_ _ _ _ __- PEER Ceasar 11,800.00 
Pret Da niealan AunGryusseyus ie SO. ee 42,000.00 
Pile MISA eCOULAC Or ert Ses ts Ob rk kr Day i ee 16,000.00 
Sunshine cottage_____._._-_-- SUCRE Ria WOR RAE NO MAAN | 3,150.00 
Taw Clatt s TES OD Cx 2 ius ae ae. 2s Sole SRNR pak een 4,165.00 
Negro physician s.residences2 Vat slimes vex am ol 8,832.20 
Deva Se (UArtcl suas. ewe, te me ee 2) PATE iia 10,800.00 
Buinees - annexe tates boo oes fol eee Eto it B 3,197.00 
eran CCTICORANG ere kote EO ee SLL Ca ERNE NR 3,000.00 
LEE SONG RST Ri tant, gd cape =A Ie LD ko UE ey WN eh Ra 30, 184.96 
Meemerwnamya lel, Dian tsk. s kee ae ek So BN | 16,299.00 
RUIN Ci) eee ieee NC Sd yin Nee apie a So Ce ae 7,000.00 
PROTO MOI GLCl sinus eer lek om en. a Stone 1,500.00 
ey LS SST si eh RR ee ANA ORG ADEM SEO a Cea: EA 14,000.00 
‘beyedhe CL Ge: 1 Ns. Ses a ang Rai ee Oe Ans SS aE cats Oe 2,881.90 

AEA oo 2S. ek RR ITE Sed Sein. CPMRANISD ND. NAL Whe a ge a In RIE oN $690 , 567.35 

SCHEDULE ‘‘3”’ 
INVENTORIES JULY 1, 1923 

Farm: 

Sup Dice mae eee. eee Sh My ee eet Bo C2442 

Machinery, tools and equipment. -___----_-------- 3,068.75 


Hive-stock 0. see ER Ree SPRUE pian all (Cals ae ARR ged de 


“49 ANNUAL Report, 1923 











Dairy: 
Supplieshad So" 98 =.= 2 yee Reo toe. $ 5,985.15 
Herd oiscgh 7 el Ae ea 14,735.00 
Hogs: eo ae a eee -- 5,253.00 
Furniture and fixtures: 
Hospital oe. sas ete oe 3 ee 14,621.75 
Dining hall and:kitchen’ 22 = 23 eee 3,366.00 
Superintendent’s residence. 2-4-2. eee 653 .00 
Nurses’ home- - - - - - goo eee 1,200.00 
Bedding and ‘linen. 22203. eee Sr 6,957.89 
Crockery: and silver. =_=2 2 Vee 2,721.41 
Drugs and medicine{22 2°22 eae 2,899.50 
Hospital supplies 2 233 24 ee 6,608.86 
Provisions: se oo STE a Si, ete, 3 Jk. 2 4,712.68 
Trainme School books. 2 -_ - 222 a2 226.81 
Patients’, Library 222.2222 1,135.00 
Business office, supplieéss__ 222. 2. 3. eee 203 .30 
Business office, equipment._.- —.-- 5 __) 376.15 
Extension office, supplies. 2_.._.-2- -_-- i) eee 2,355.82 
Extension. office, equipments 2220. 2c eee 4,058.82 
Laboratory and medical, equipment___.__.___...-_--- 10,492.65 
Transportation and drayage, equipment_____________- 670.00 
Totalio. fo: eit ete. oe ee ne $ 95,800.29 
. SCHEDULE ‘4” 
RECONCILIATION OF BANK BALANCES 
Fiscan YEAR ENDING JUNE 30, 1923 
PAGE TRUST COMPANY, ABERDEEN, N. C. 
Balance in bank July( 191922... 4.22 $ 46,768.20 
Deposits by State Treasurer_....______- 290, 550.58 
Totaliite’ 29 Sa ee $337 ,318.78 
Vouchers drawn during period____.____- $310,883.41 
Vouchers outstanding June 30, 1922_____ 26,025.24 
Totals ee ba Sag ee 336 , 908.65 
Balance June:30; 1923). 95005 ee $ 410.13 
BANK RECONCILIATION 
Balance as per statement, July 1, 1923__.____________ $ 12,964.68 
Outstanding vouchers, July 1, 1923) _>_____1._ 110 12,554.55 
‘Balance’as above) sulci... Ae ee 410.138 
Deposits: Seiad a 
1922 
July i 2c2 i Poa one eS $ 25,000.00 
Septemiberae eee ne eee i So eee ee ee 36, 666.66 
October pie! se eds She 1 Seer 36 , 666.67 
Novemberiz gs i en 22,000.00 
Decembers og a i oe 25,166.67 
F 1923 
ANUATY wre els et ale 4" ah etn, ae 9 le ie : 
ie iven: 12 333.33 


Reg Se eres im = Gin he ake ea ee 16 , 666.67 





Tue Nortu Carorina SANATORIUM 43 
Nach rie Seiten nn ener emanate Neer $ 25,000.00 
PWV Md Ns, Me Sel NE SO Pale ee a Sa Sie Oe Oa Aa 33 , 333.33 
YT 9 yecaren een re Sa eM PS 50 ,000.00 
JUNG See eee en ne es. dere A eel AHNG 20 reece Cpa APs 
Mi Otaleeres Sen ewe Om pS ie $290, 550. 58 
PAGE TRUST COMPANY, RAEFORD, N. C. 
Balance in bank July 1, 1922__________- $ 14,365.98 
Deposits during period_____.__-._____-- 105 , 543 .04 
ERR ag I Scare oe so. a» a $119,909.02 
Vouchers drawn during period_._______- $115,162.61 
Outstanding vouchers July 1, 1922______ 3,159.61 
See eee re etre Se 118,322.22 
atAnCen) Ulver GLO23.-. = SER oe eae he Rina i ek a $ 1,586.80 
BANK RECONCILIATION 
Balance as per statement July 1, 1923_______________- $ 28,156.93 
Vouchers outstanding July 1, 1923______._.-_-.-__--- 26,570.13 
Pa CCHB DOVE. eee tee Pan OCs Cee oh) a $ 1,586.80 


OUTSTANDING VOUCHERS, JULY 1, 1923, PAGE TRUST COMPANY 


ABERDEEN, N. C. 





Number Amount Number 

CSS Res Ee re $ 223 re Uae Do ee aac os ey 6 hd 
DASA Ses ESS ee eee Lt SSS 1 Be as Se eee Me eta ee 
fet PS Tae Se a eer Ae teh al 4) ca a oo ean ley 
JIN ES a eee O20 Set 420 ft oe ee oe aN PNET 
Pe ere re Oe OU) Stee AGE ee Aly ss eh ey ees as 
KUO. <a Ba TRAD 7 Wega 0 Se Ok 
| Lee aj 9 Sn ge A001 00 SN ADS) ae Sard edhe ecaclgttg 
as hol ae air ie bite an See enone are? TAA Woe UA AS eo) Sena ta: ema ete 
LEDS he». ONL RANE Me ei eee ae CEO HRP £5 Oey ie sce a eee Ry aN Se 
ES OC eee tee ah hams Un Ak GOR DOL aILAS Lei aay © te SP Bret ey 
20 eo CO ae ee, ae ZOO MAB 2s eR A eee he Di a 
WED ee <a a ea OE Reade hn LOOF OO Gaal 455 ie ee we re ee ea eee 
PAOD pomp eek, eke Bet Le eas LOC? OOMEIAS 4 eis ANd Pusey igtenite Te 
Eh OS etree oe Sa) oh Oe es Bie TLOOEOORARLASD ee ae te cae, ee ee oe 
LAO Dee lew a. Ogre tah gn tel hs AGAR AEE. 2 ne ee ele eee 
(YG) Bato iets See ee Bree CEO OO geen 14 Of coer ty) gran Ole Be a, 
Le Cy ene Beale, eee OF OO SIRIASS By ei alls 3) Wn ee hee 
AOS noe es ee ee, 40200 LAS Oe See ak a eee a 
E400 ee, Bad wo re TANTS. 3 AUTON Oe 8) Rs a AVA Ce oe Cae 
ACL Oietats eden bo ee Be 2d yk So) SO LAA | beeen ein) i Domes eae 
102 ie Es ea ee eR eh a PSS AU DD ad RZ DAN 42 0 OM ORR ES: actin, iiNet 
| VM BAe tie wife Seale a PR WI ie Ose LAA teensy 2 cre eee a 
aL ee a te a foe ZOU TOO 8 Ay re eta ia 
1S NR Sa Oak oe DOOSCO Wm L440 ee eee Lee ae eens 
RETA eee er, A Oe TOs COM 446 wets 2k a 
| RIM GRE i VE alfa E> ee ee AQ) SOON Ge U4 ees ae 2s are oe ee 
6 EN Oa a es BOS O tae LA 4s sees ln ee ae 
ADS 2 i ene wa ree te nf C2200 tL 44.0 Seay cl ok ae eee 
ETO oe er a ee. Use GOT OOM: 14 ieee ie ee on) eee ee eee 
Ay: BY 0 ie Pine Oak ee La yn ee AA OO ge AO eee a on ve eee oe 
5 DA eS OO 0 a LOO: OU aes B45 2 eG een ee rey ae 


Amount 


150 
45 


.00 
140. 
.00 
100. 
100. 
325. 
61. 
100. 
75. 
110. 
195. 
459. 
1B i, 
368 . 
PA: 
24. 
122. 
237. 


44 


Number 


13. 
ae 
205. 
50. 
13. 
.O1 
23. 


4 


93 


ANNUAL Report, 1923 


Number Amount 
IAT Ao See eee $ 62.69 
14780 ee ee ees 48 .24 
1479. A a ee eee oe 203 .00 
1480... Ae eee 60.00 
14813 - Se oe oe one, Ce 14.97 
1482 3 ees See ena ne ae ee 5iT4 
L433: Lee ee ee, 8.56 
L484 er ee eee 4.20 
1485s oo A ie eee tga 84235 
1486... éehe Ieee ae 81.59 
14892 ee Se ee eo 17.00 
1490 2 ae a? oe speg al) 
149 Lig iiel As re ee eee ooe2e 
1492.) See Beer errr) eee as 61.34 
1493 SMA 2 2h Pe 4.69 
14904. 2s re tee ee 54.00 
14.95 a rae Ser oe cee 100.00 
1496 Se Tee ee 41.90 
1497. cg 3 Se Ey LT, fe 94.25 
L498 nes eee Bt eae) See 65 .67 
149090 ape > ee 31.00 
150 Ost e Ss: ee ee 94.35 
Totalhae S160 seid $12 ,554.55 


OUTSTANDING VOUCHERS, JULY 1, 1923, PAGE TRUST COMPANY, 
RAEFORD, N. C. 


Number 


Amount 


Number Amount 
BA 1b pact ea Cee ae Ae ene $ 86.25 
GAD et eee a oe 1.96 
G43 04 bans Ss erie: Gores Jone 88.61 
GAA eA ss aes ae eed 3.03 
G45 22% a ee Soe 2628 
646 ae ae 622.67 
GAT cc cigli te seen men oe. 6.91 
G48 - wick Be eee eee 12.89 
GAG or aes ce rere oe ae fe dy) 5 26.46 
Gini ae ae Ee eee Fy ee 10.30 
GL Re ae ie aa ai al bd 29.24 
G52 ech Tete ren) Ge Sua 87.41 
G53) liie 2 eae ee od nae 14.00 
G42 a cs Say brs 11.58 
Sith) eRe eer eL ye, San ae ol 960.00 
GOGW 8 2 eee ee 133.00 - 
GOT wiks tes eee ere ve are 45.41 
GDS - ls See ee a 55.49 
Go9 sh ee ee ee 108.58 
66005 0 1 Se ee 71.28 

Amount lorward cess. $ 9,446.83 


Tue Nortru CaroLtina SANATORIUM 45 


Number Amount Number Amount 

Amount. forward. - .. 2See2 oy DAG Sota reDS Laue SERIAL ew ee $ 16.56 
6105 Cat SE - ei eStart 162.45 OM yeah taereus ome Cease Se Souk 
Ge ee ecco ot Gant ANS NF op Pe Sy Gs SY A a lad age ee a 152225 
iB cial OG Sach te kegel ang SOW De OS te ee eg ie ie Se 118.10 
DO Asae ee en ene rs o ey M Wade ic Oath Canc aed ll aalpesordiek oth Sg. a edad 300.00 
(AGL 0 fos ATES agli lio a a SOFC Tee OG0l eee ee kere 108.00 
HOOmameee secre Pa a WA C'S us fhe Y Ena aah et Manet nA tet bl 600.00 
SAT ol! Boy Tat gic sea aae 106.75 SS oe ry oe NT deer nea 1,790.54 
H\Gle (Ls ain Seiad saad 11339 CN ee ree en Lees me 4 2,174.49 
TONY My Je to ie at Be pl 122.67 GO0S 26 Soe ere ie aye ae 47.46 
EAE Tg OR GEER Sige Aa halp a Sen 7.14 OD Liter ee ira Qe oe Dheco 
te pe laec te eee Me ob 122.41 8 el Pe hans ae dolled Mea PODER RY om Fey fo MD. * 266 .00 
re eee ee te dye ie LOS eo Cer UO eee. bal) oe ome ee 2,500.00 
Beige Camere yet NINE Lee) Le 95.62 CO CRS ot). SPN ce 55 (57 
EMR 2 SSG Rae aE MLC Men Ou puaneme tans, beer ae 313.68 © 
Cn ie ee eet fe EE 15.04 UG See hearer Le ee ae 5,126.95 
Sele ba eee Oa A ODL BOT MRO. Cee LR re AP 1,422.76 
PES © EES ATS e: Ae so See 4.90 GUS re ore ed ai he aS 2 a ae 36.72 
Percos cnrameie ys meng Yt SRE A 423.00 —_—_—_— 
ASIST 2 ewe ela ae 136.09 Ota tere lo amen $26,570.13 
Sret ae Meee fe 504.00 “eS 


SCHEDULE ‘5” 
ACCOUNTS PAYABLE JULY 1, 1923 
Hopkins Bargain, House: 





IVE aver rs acid CWE 925 pea la lt te ip Saba ae hee a $ 1,100.00 
50 dozen linen crash towels @ $1.50. -___________--- 75.00 
20 dozen slipover mattress protectors @ $12.00__-__- 240.00 
—_—— ———-$ 1 ,415.00 
Pomona Terra-cotta Company, 2 cars sewer tile__ __- Pes de ty SUE 665 .00 
Pi LOm mene rOOM\CUC,e 2 Joe ob le oe lel 6,331.95 
Rimi O ro maMeleOUlUIl 02), 22s a ke og tk ce ei laden 600.00 
mevoite y Garnitity Cothage-(estimated).. 2-5 oo 0 bbe ee 1,500.00 
Pineneaiectesancdipitiowcases. = 2.2.2 0 2 ook SPS Ss 1,000.00 
TSR 1 ESS ORE SS ae ape Ree aR Sa ated ed Cpa atte pe por, 680.31 
Say TEE a 2s SS RO ei gaa ee iy Se RAT. : 252 .00 
Electric fixtures: , 
Ceiling fans for dining-room_-________- Br GE eh $ 842 .00 
Hixaures Ton OMiINe-TOOmMs woe he a ee ae 894 .00 
Negro Sanatorium: cottage: 24 222.26. le uvs ee 842 .00 
oe 2,578 .00 
Screens: 
Dining-room - - - - -- \ 
INGEST om RITA POPLIN we Ait thee IO Mae Pe ee ee Oa Cid Reh Ae 553 .00 
Negro cottage -_ _--- it fabbesietieg 2S) f° | 
BO LAU resem uiemcbrn ts hc wentta ni Cre aor ees em eV ep ee, $15,575.26 





TETOATNECITOCEI Uber Cou led yim came Seton el ea bigeye Sea $ 2,700.00 


es ee eee eee eee 





46, AnnuaL Report, 1923 


SCHEDULE ‘677, 4.) : 
TRIAL BALANCE JULY 1, 1923 


Dr. 
Surplus. 2. [loa ae a ee ee ee Syne ee ee 
Real estate, hospital grounds ?2°- 3 e.) = ae eee see 19,944.74 
Gordon cottage [oi l2. . 22 os eee 2 eee 7,500.00 
Negro SanatoridM.a.) 2222 20. = eee ee 85,768.92 
Nurées’? home! 4) D2 ee eee 12,000.00 
Superintendent's residence_— = _ = 52406 eee 10,000.00 
Assistant Superintendent’s residence-_--_-_-----.------- 12 3826.45 
Dining hall andikitcheno_—= 2. 22— ees oe 99 , 213.37 
Well No: 2.02022 022220) JS See: 25 2 ee 7,000.00 
Administration: building: 22 2) 2a ee 260, 756.12 
Power plant and -laundrys\.2 2 002 eee 42,446.73 
Flannagan cottage. 9222. . 2 See 16,847.18 
Servants’;quarters (colored) 2-3 a ee 12,000.00 
Nurses’ annex 222102 22. 4 ae 3, 502.00 
Physicians’ residencé220. o: 2 25 Ge 4,516.30 
Sunshine cottage._2 0252.23.50. 22-42. eS 3, 500.00 
Farm/operating account... 2 eee ee 713.80 
Repairs old building» 20-2. a 32,991.08 
Real estate-—-Parms: — ©)... 235.3... S222 ee 34,831.24 
Farm machinery and equipment... 2-225 ___ > eee 3,864.88 
Farm. live-stock 1. 9 ee ee OU 
Farm residence. =... 2g42+5---4. ¢a443 Sees ee 2,996.63 
Dairy operating, accoUnts.2 222.0 6-2) -- 
Dairy barns and silos22220-2.._ 32a oe ee 30,184.96 
Dairy live-stockitne Sie 6 44 jo eee eo ee 16,572.83 
LO gSteeo. Gin ee ee ate ee ene — oo 3,213.21 
Furniture and fixtures-—Hospital..2 = = ee ee 17,744.87 
Furniture and fixtures—Dining hall and kitchen_-_-_-__-- 8,974.00 
Furniture and fixtures—Superintendent’s residence__-. _- 1133235 
Furniture and fixtures—Nurses’ home-_--------------- 1,050.00 
Bedding ‘and linen. 3a. Seer eee eee DF, Ste Rene de 11,279.52 
Crockery and silverwaree: sss_e oe" 4,051.91 
Drugs and medicine: 22: 5282-4 = tees cee ee eee 5,160.92 
Hospital e528 8) eS een hie ees ete a 11,790.60 
Provisions 2422.2) eee ee Set cep oy) oie ea 81,109.89 
Training school books #28. <0 = Se ae en eee 510.41 
Power, heat, light and water. =o). ees 81,643.84 
Telephone. systems. 20 oo. ee ee 2,424.11 
Patients’, libraryeese aoe oe. ee 135.00 
Buisness office—Supplies____.._...-._----- 5 See eee 1,210.00 
Business office—Equipment____..._.....-.-.-----.26 449.05 
Extension. office—Supplies: ._._ +422. 550.0262 ee a oa a Br 
Extension office—Equipment..._....-.---..-.------- 4,621.54 
Laboratory and medical office equipment__.___..-_--- 12 ,649.10 
Sewer systeme yee ee Oe eee ee ee 14,467.59 
Transportation and drayage equipment_______.__-__-- 4,696 .13 
Landscapes. eee ee gee eee oh 2,881.90 
Permanent improvements... .l2 24. 2 ee ee 2,078.01 
Appropriations #22 6 5e 7 js Us eo ieee a 
Patients’ board:and treatment. +22 ees eee ee 
Page Trust Company, Raeford balance___.___-.-_---- 1,586.80 
Page Trust Company, Aberdeen balance____....------ 416.13 
Salaries and :wages See ee yo 46 , 427.92 
Laundry, accounts oie eae ee 4,819.35 
Patients’ refund "eee ae eo, eee 9°62 1-98 
Hreiehtvand expreses- ves. en eee 1, (925.01 
paleloldlaundrymachinery se = soe eee ae eee 
Negro physicianisi residence. 92. =. ae sun eee 8 832.20 
Cassin, Crawers.« .) ee OO abe oe oe ie ae oe 2,662.80 


Cr; 
$971,637.48 


77.25 


2,078.01 
96,569.79 


500 . 00 


Potale sO css 3 eeert tek thn ean ae ae $ 1,070,852.53 $1,070,352.53 


47 


Tur Nortu Carortina SANATORIUM 

















20 9F0 ‘9ZF $| €8°8ZS‘LT $] 6L°998'% $] 18°266‘E $) So°sZz¢'EG $] SF'°980‘'Sh $| F9°9ZT ‘LT $] 29°620‘'SS $| 00°000‘ST $| 08 P89 ‘STZ$l~ ~~~ “s[BIO., 

ASIA Pe Mog eo ae 00 “P&Z $9 GCL °T CT 169 ‘T 69 PFS ‘T LOQ0O0c Ce ite. pe ae ome orca Wee HSE002 Pen s| eek Sia prec cours SnooUs][I0SI J 
Ig TFT LGU PL epee ates et fn | ghee CR en le OS i a ei ge a am nc | 8104091Ip JO pavoq sosuodx iy 
08 °G¢ OS CS ee ie NS ah cy bc ome Re Reem | or a rman Rages NNN nek Sl ican edvospuey 
99 PSI 'T OOPS eC re eed SS cae cecgene [oc ae aes IE fey cae me ee ge | ager Ss0F] 
TS °62‘T TS SZOL TA oe ee ol epee ime tang ene eS ae pe mace eae | ee rea sso1dxe puv 4YSIOT 
£6 129 °% (ili Ao ee ae Maia beieiaa bes wearers Pied bela mike, seas bee ela) eerie, Sao ye ne I Sak Se gas ee eek 2a “-- --punjer ,s7ue8 J 
99 S26 'Z OOSGEOKG aie [Ce cs fe renee Cu mec | rie yal oe peeing ca ae eel ai) gmc ee esvAvIp pus UOl4eIOdsueIy, 
€8 916 ‘9 SSO1G Oe fc a ie as Of MMe Pt deges | oe reaea ae gi  uan gee a ac anagem re ae ee ee - AIPUN’'T 
89 OIE ‘T SOO Ger lesces: - SR oe | MR eek cl cen ete | orp tae | ene re aan | eer ieee | eee aie as ydeizejoq pus ouoydeay, 
G2 CIE 96:0 | BAM ee see ee | A eae” Epes ing alee a nee ite couche ae a DSI eR Goel ee | ee | aie AL coe Ea MneaGes tae [OOYOS SurlurleLy, 
OF OG oleae! ie 62 °20F‘T 00 “L&T 82916 ‘OT | So Esh‘z OS PSO) Tia rte so | peek eg ee ee a | pea ee eee ee ae eee Areq 
Co COLO Lees ae a 00 “EL 18 °F8L‘T 68 "616 ‘9 GL TPL‘ SPOGS LT er ee aes ea esr | eee) eo ae eee eget -UlIB,T 
FE Cele leer oe a | kc ee OF “OSE FS 78 00 "SF¢ Pes pty eae Rape le ed ge eae bret er eco terre esviomos pus Surquin,[g 
UCTS epee AM ens n. |: hee abode apeaye eas OL SZ 00 $F OO ST nc SES ee SP aces | ees ele eae | Sei oR) une Sa eee UOTZVIOSIIJOY 
Gh VEG Sera wen gin Re awe |b Be err #0 681 OF OFS GOTORG [oF ep eae eae Sl agp a ge ng ere eee a Se 1078 M 
GI Sill RO Res en Sie Re ey ae eae eae 0€ “SLE 0¢ “FS POUR ee ge ae tea tee ek ect ed | ae ee ec ke Dee cn ol -4y43ry 
CLECs Ole Ole ge were Clb ees ste re eees LO COCR esitGL COLE kt) ok ae eee | coer eae eS Sr gee en ce | aa oe, ooo ee eee ae yeoy pus JeMog 
OUSOCONL SME | Serpe oe. | cea ee oe eg ne eee 70 6L6-— Slee ea CO 7LG eee Se ee | | gee > cs ee eg ene - 200 
PSCOGIES Wael dares cen! a canes. ricee +... Me TSi2GS"SL ie KOPF COGS PE Ste7S “OGE! CI ae O20 20. eee cee | ok ce a | ee ee te eydso xT 
TVaCSS.SCCS anaes oe Sala ae ae. ¢ | a oars |e me, oe eee eo | ho grant $}00-000°ST $| TF -S88‘0Te$|=" ~~ aed T osed ..‘q,, Wqrqxg 

1890. ora ed carn suredoy serjddng eniereris g quewdinbry | SuOIsIAOIg | UOISU94xXT oe dae 
p i -BULIOdg 





aly) AAAATHOG 


EZ6I ‘Of ANOL ONIGNY UVAX IVOSI 
SLNGWASANESIC AO AMVINIOS 


48 ANNuAL Report, 1923 


SCHEDULE ‘'8” 
OPERATING COST OF HOSPITAL 


FiscaL YEAR ENDING JUNE 30, 1923 — 


Provisions purchased: i... 500 oe Be eS HOO ae, 
Dairy: translerseh sense eo TD oles lee 20,890.04 
Farm transters: Su 2a epee eee 3,328.65 
Hoggery transierss nae See ere 1,683.20 


a a cd ns ee 


$ 78,981.56 





Less sale of provisions...__-.2--.+.4-.- yh 440.52 

Totals 220822 2 Se ose ae ee $ 78,541.04 
Salary. and wages... 2o100. 7 0 2 a Bs Be ee 39,891.17 
Supplies). bie Bes irae. Al ee na $ 35,679.45 
Less: sales fz. to -pok |: Sere che ee ee ore 1,729.09 

otal. gece. ae eee ‘oan Jee ae to 33 , 950.36 
Repaits 2. Geo es Hears Se a Re eRe oy: ee 2,075.94 
Training Schools. . See ak. oy Sale Bee 312.25 
Telephone and telegraph_.___________---- $ 1,310.68 
Less: collectéditolisc a iee pt 4. bi uae ha 386.57 

Totals sb. go a regeek seek Bett cr 924.11 
Layundrys 250 eae A es ne eee $ 6,916.83 
Less collected from patients.__.__._____-_- 2,097.48 

Total. | 0, 4 ie mee) Vig ee =o 4,819.35 
Transportation and drayage__-..._..-.---_- $ 2,925.66 
Less collected from patients_____________- 19.02 

Dota 2 foe 2 es ae lle Soe 2,906.64 
Freight ang exptesss "Ger Se ee 1,792.01 
Expenses Boardsof: Directoral 4.4524 2 ee 141.51 
Miscellaneous__________ zie eos (eae ea $ 4,700.89 
Less miscellaneous sales_-____ __ te sy by aoe 187.30 


—_—_— 


Total: ce a oe ee 2B ps bd 359 











Total operanneg costes ss ee ie peo Gad $169 , 868.47 
Average number patients __ ___ Pierre re A tags ee OY 
Average daily cost per patient... 2 ane $2.79 
Average number employees__ 5.02 32g ane ee 63 
SCHEDULE ‘9” 
DAIRY—PROFIT AND LOSS ACCOUNT 
JuLy 1, 1922, ro Junz 30, 1923 
Gross.sales.0u w/a laW Sh $ 20,611.33 
Inventory: July 1,'192320 30) het ee Sis abd 2 6 
Expenditures. 22u 29 stein | os i ee 18,421.43 
$ 20,534.08 
Wess inventory June 30) 11029) an ae es eee 5,985.15 14, 548.93 
pe Gross profit: on Operation. oc. Goa ue eee ee ag ae -$ 6,062.40 
Mive-stock——expensen ik pry eu Ue Sa ge a $ 1,837.83 
Net fain |. Joc y EO CORE ENE arth PA OR ALD EY, Tbe 0) 4 224.57 


$ 6,062.40 $ 6,062.40 


Tue Nortru Carortina SANATORIUM 49 


SCHEDULE ‘‘10” 
HOGS—PROFIT AND LOSS ACCOUNT 





SURE ENTER Seon: ey 2 oso fl ISIS ok Oh ae re aOR hg $, 1, 450.20 
POvetugt Wd Ulva Ole Ua) Mo Male eae oe ote Sh A gseD Wee 
TOSI NAVI SL ca Ragen iedigaelay 21 6 SN Ae a ie eae ma Tel Tek 4 

$ 4,968.41 
Mecsmtnvenrory June 50, 19280222 5,253.00 

ea OC CPPEN On ee SRERM Gia gi oe ee at aes $ —284.59 

NR EG NVTEG L8 a E  ,  ae 2,039.79 

$ 1,755.20 $- 1,755.20 








ScHEDULE “11” 
FARM—PROFIT AND LOSS ACCOUNT 














Cree nal oameumere week Ne Sy Rigel id Saleh peeing ts ie $ 13,090.64 
Pep tte yet O22 2c eS Re? $ 475.85 
LSC EGC HUNTS: aks Diels 2a fs OR tl TOUR ER gl 13 , 328.59 
“hag MIE EU Ce ae one ae eS amER EY a & 13,804.44 
Maren LObyeoie line or 1925. 0 rey ay tai 1,624.25 12 ,180.19 
POssmeOMmmOOLODETAULOD. . od. 22ee uote i $ 910.45 
Pees Nie memes Si IN Be ee $ 81.24 
Pec mervsamameduipments. o.oo 796.13 
ee | mere 5 DY A ee. oe 160.00 
eee eae eee ro Sr ee er 3.37 
Seaternt meee eR cet ee 136.45 


$ 61,013.82 $ 1,013.82 











SCHEDULE ‘12”’ 


, | 
RECAPITULATION OF MILK PRODUCTION JULY 1, 1922, 
TO JUNE 30, 1923 


Month Pounds 
1922 Produced 
i er eR EER eer A eh ee eee ee OL a ea 26,157.30 
I ee O US. GERMANS ye on a eR pe ea pi oe Anan ae SOR ep a aes 8 SU ote Sar 2OAOOLED 2 
re ibecii rete. ore men te eens ne Sha 12 Ls Beeps bs SR I IE OE aa 21,865.56 
USED) SRE ce cag SR Nia a Tagan JP SEIN aia sO Up of 07 Ley ARs 2 a 25,366.51 
WOU EPO A REE TaN 5. LE LY Swe Bs tg ats GOES. «4 ae aan Be Rear ape 20,623.70 
Apel eto 08. eeces rit EON RN, Seay Elle up Andy 1 Pastas be a: 21.980.50 
1923 
s EVO ENA, SO SOS IR OC SR ats i eee are enemies © ead Lees Mean Aes 20,169.70 
cic] icyeaer ae ae een meee Te Prey PR Sige eo ep eae ee Ee Le 20,107.70 
AUSTIN ies AD me Rohs, Ss SB Cale ee 2 8) eel, ape Gees, 08 Maen ieee! 19,810.00 
ENOTES OS NG 5 Ee Relieve 8 ie cs See an en ae. Oro. Sen pC ana gad ane 22,275.10 
IN CORE Tee So ect Baa Soe Rte hs eee Ea gs”. ea hee _.. 24,563.60 
AMO, LSE le ROO SI NE I ae a 2S tea ay age Rye | <7, RRS oe 23 ,414.30 


HR LATe OUI Sie reeks edt eesete oun Ge. see 7s GUN oa eo 271,886.49 
or 
BOLO ES Uig TuOUSs (OU Celiter ie ose sete Pee a eee ey eI ee 20 oO P48 





50 ANNUAL Report, 1923 


ScHEDULE 13” 


MONTHLY SALARIES 





EXECUTIVE: Total Extension Maintenance 
Dr. L. B. McBrayer, Superintendent $ 333.383 $ 250.00 $ 83.33 
Dr. P. P. MeCain, Asst. Supt.2 _ -_- 250.00 250.00 
Dr. R. McBrayer, Physician - - - - --- 200.00 200.00 
Dr. S. M. Bittinger, Physician - _---- 200.00 200.00 
Dr. J. H. Williams, Physician. - -- -- 150.00 150.00 
Dr. J. W. Walker, Col. Physician -_ -- 200.00 200.00 
Bas Wo 9 bigtan ieSn eR he =. lw $1 ,333 .33 $ 450.00 $ 883.33 
OFFICE: 
¥, L. Eubanks, bookkeeper -_--_---- $ 100.00 $ 100.00 
BH} Orsink; chietcterk 00 eee eee 100.00 $ 100.00 
Mrs. H. O. Sink, stenographer-- - - -- 100.00 100.00 
Mrs. C. W. Covington, stenographer 100.00 Pa LU CA) 
Mrs. J. H. Williams, stenographer - - 50.00 50.00 
Miss Sibyl Brabble, stenographer- - - 50.00 £400.00 
Miss Mary Bulla, stenographer- - --- 25.00 25.00 
P. A. Fore, assistant clerk____-.---- 75.00 75.00 
(Potaliss 2a De ee $ 600.00 $ 500.00 $ 100.00 
LABORATORY: 
Miss Lois Hunnicutt, technician_.._. $ 100.00 $ 100.00 
Miss Maude Mann, technician, 
clerical | .GeNs eet Clown eS 40.00 40.00 
Lota 2: Seca eee a ee $ 140.00 ¢ 100.00 
NURSES: 
Miss E. Connolly, head nurse - - - - -- $- 125200 $ 125.00 
Miss Sue Burton, graduate nurse---- 60.00 60.00 
Miss K. Satterwhite, graduate 
NUPSO he eatin eae ated oie erste 60.00 60.00 
Miss’ H.Dardenenulse. oe see oes 10.00 } 10.00 
Miss V. Lancaster, nurse---------- 10.00 10.00 
Miss Sadie Wagner, nurse__-_------- 10.00 10.00 
Miss Della Vestal, nurse_-_.-------- 10.00 10.00 
Miss Nauva Cherry, nurse__-- ----- 10.00 10.00 
Miss Ethel Smithy, nurse__-.------- 10.00 ~ 10.00 
Miss Margaret Darden, nurse- - ---- 10.00 10.00 
Miss Bessie McGinnis, nurse - - - - --- 10.00 10.00 
Miss Willie Askew, nurse__-..------ 10.00 10.00 
Miss M. McAdams, nurse__-_------- 10.00 10.00 
J. Wi Reece; attendant... ccauees- 10.00 10.00 
Tie W bite, attendants ve. eae 10.00 10.00 
Total ue: et cae iy Sua eae $ 365.00 $ 365.00 
ATTENDANTS: 
E. B. Satterwhite, telephone.....-. $ 40.00 $ 40.00 
Miss M. Flanagan, housekeeper - - - - 40.00 40.00 


ee ee —- 


TOta lice oe Ret eee ee ee es ¢ SS0 000s $ 80.00 


Tue Nortru CaroLtina SANATORIUM 51 


DINING-ROOM AND KITCHEN: Total Extension Maintenance 





Tier OLS COW al Guat Sunt sete te $ 150.00 $ 150.00 
Monroe Rowland, cook___________- 100.00 100.00 
TE ramee Vy Leva COOK soo WL aucun 100.00 100.00 
Gilbert McGregor, cook_______.__- 50.00 50.00 
Jee asbe navn wellerae ec. 2 oe 30.60 30.00 
Nathan Patterson, waiter.____.___- 30.00 30.00 
Namie oialiis WaALLer s.r OLS 30.00 30.00 
Frank Harrison, waiter... -- |... -- 45.00 45.00 
Clarence Fowler, waiter__-----.__- Seo 37.50 
Prot arrison., orderly. 4s. ou!) 50.0€ 50.00 
Arthur McGregor, waiter_-__._-__- 30.00 £0.00 
Henry McEachin, waiter__________- 30.06 30.00 
(sey Hieriwallers sper 2 45.00 45.60 
Tinsie Fowler, waiter_____-___.___- 2.00) 25.00 
Wievitnhlolmes) servants’. 2 oe a PAO) 25.00 
McKinney Patterson, servant_______ 25.00 25.00 
R. McLoughlin, servant..-________- 25.00 25.00 
James McPhaul, servant._2______-_- 25.00 25.00 
Leroy Sorrell, servant.......2. 2... 2500 25.00 
DOME avis ser vanto i of os oY 25.00 25.00 
Jouneiecves, servanten oss kee 25.00 25.00 
JOuMeoralk servant loo 25.00 25.00 
nee avis, servant.) ol 20.06 20.00 
Tsetse 2c 22 eo OAs 17.50 17.50 
Wii Oa wie wri day ey) ee 17.50 17.50 
Hie mrOuaealNaMaids 2 jo le 17.5 17.50 
ipo biamison aides oe eu ou ys 3 17.50 17.50 
NolarVielachine maid 2.20) 0... 17.50 17.50 
LL ytenmmreeeys er EE a tr $1,060.00 $1,060.00 
GENERAL SERVANTS: 
Nn yerendersOn. 2 vag eo 2 es $ 30.00 $ 30.00 
ames wlene.. 2 252 wig Le Oe 45.00 45.00 
HloWwardenowler.) 260 250501 1 ile 45.00 45 .00 
ap OL anemnee ho teas Sa A Sots $ 120.00 $ 120.60 
s 
MISCELLANEOUS: 
Frank Mizzell, superintendent 
building construction____-..____- $ 240.00 $ 240.00 
I. E. McAnulty, engineer.._______-- 150.00 150.00 
A. B. Freeman, assistant engineer___ 150.00 150.00 
Werte, Y OUND, SITCIN AT eters le 75.00 75 .00 
Robert Peebles, fireman___._____-_- 75.00 75.00 
T. H. Redmond, laundryman_-_-_-___- 100.00 100.00 
8 Wie) 24 oa See eta ce yd Meco sik pai $ 790.00 $ 796.00 


FARM AND Datry: 


L. B. McBrayer, Jr., superintendent. $ 100.00 $ 100.00 

_ Regan Byrd and family, dairyman__ 150.00 150.00 
Hotowler laborer site bt. oN 45.00 45.00 
WV ELOWICT, a DOTCI ao ae eee 30.00 30.00 
Peaiowes aborers: -o) en er es 45.00 45.00 
Pehicharosonslaborers.- eee eo 40.0vu 40.00 
M. Cunningham, laborer__...-.---- 40.00 40.00 
Cr.Gunningham, laborer..c2_ 2-2 28s. 40.00 40.00 
RACunningham, laborers. .3.-22-. 40.00 40.00 
UO Weyl See Sree ge raha at Pe ee $ 530.00 $ 530.00 


Total salaries of institution.... $5,018.33 $ 950.00 $4,068 .33 


SUMMARY STATEMENT OF FIRE LOSS AT THE NORTH 
CAROLINA SANATORIUM, SANATORIUM, N. C. 


Loss by fire: 
Old dining-room#kitchen, and equipment. 3 ee $20, 683 .00 
New building... 22.00 200 2 2 2 Se eee 23 , 401.00 
Food:supplies. 4 22. ae ee ee 2 a ea Pare, a a came 750.00 
Total loss......22525.-.-4--15L-  err $44 , 834.00 
Replacement cost: 
New building. [250s 2 aon eee ee meena as | $23 , 401.00 
Equipment.0 0 222 cei Pe 2 10,683 .00 © 
Food supplies. = 22.6 ee 750.00 
Total cost: of replacement. .______ eee $34 , 834.00 
Omit rebuildmg old kitchen. U2 2240 Se. ee 10,000.00 


$34 , 834.00 


By reference to replacement statement, it is noted that the cost of 
reconstructing old kitchen has been omitted, as the institution at this 
time does not consider this necessary, which leaves a total net loss of 
$34,834. This amount is needed at the earliest possible moment to 
provide for replacing the damaged building and equipment. 

Fire insurance on the above loss is partially covered through policy 
issued with the Insurance Commissioner, which amounts to approxi- 
mately $4,550. Such part of it that may ‘be recovered will be credited 
to the total cost of replacement. ,, 

An itemized statement in detail covering all items upon which this 
statement is based is on file with the Superintendent of the Sanatorium, 
and with Mr. H. A. Underwood, engineer, Joint Building Committee. 


% 
Respectfully submitted, 
NorTH CAROLINA SANATORIUM, 
By L. B. McBrayer, Superintendent. 


JOINT BUILDING COMMITTEE, 
By H. A. UNpDERWoop, Engineer. 


Raeicu, N. C., January 15, 1923. am 
“a Y 





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COLLEt baw? i aS y* 


REPORT OF THE STATE SANATORIUM.EOR THE 
TREATMENT OF TUBERCULOSIS BY 
DR. J. E. BROOKS, SUPT. o 





TO HIS EXCELLENCY, THE GOVERNOR AND THE 
GENERAL ASSEMBLY OF NORTH CAROLINA:— 


In response to a eall, the Board of Directors of the 
State Sanatorium for the Treatment of Tuberculosis met 
April 24, 1907, at Jackson Springs, N. C. The said Board 
organized by electing Dr. J. R. Gordon, Chairman and Dr. 
M. Eugene Street and Mr. J. R. Blair, as members of the 
Executive Board. 

At the suggestion of Dr. R. H. Lewis, Dr. J. E. Brooks 
was elected Superintendent of said Institution. This was 
deemed necessary in order that the Superintendent might 
have constant charge and oversight of the work from the 
beginning. 

The Superintendent with the Executive Committee were 
authorized by the Board to investigate locations in the 
deep sand hills. This the Superintendent and the Execu- 
tive Committee did immediately, which investigation in 
this section resulted in the purchase of two or three sites 
which were finally rejected because of some irregularities 
in titles. A location was finally decided upon in Cumberland 
County close to Moore County line and about 12 miles from 
Pinehurst, in what is known as the long leaf pine and deep 
sand hill section of North Carolina. This location is an 
ideal one The scenery is magnificent; the air is pure 
and free from humidity; no malaria, drainage perfect; with 
a Sanatorium site extensive enough to build’ an institution 
to take care of a thousand patients. The Committee was 
looking more to the future than to the present in this se- 
lection. This tract contains 936 acres with a water power 
in addition containing 15 aeres about 2% miles distant. 
This . ater power will be sufficient for all purposes necessary 
to develop the institution. This tract of land contains a 
site for the Sanatorium as beautiful as can be found in 
the State of North Carolina. It has 200 acres of farming 
land, good water power, and a natural park around the 
Sanatorium with a good farm house. 


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The Sanatorium building is 68x46, and has room enough 
to accommodate forty patients. This institution was open- 
ed November 1, 1908, and up to November 30th had five 
patients. ‘hese patients are charged a dollar a day, which 
about pays for the food they eat. No extra charge is 
made. 

The General Assembly appropriated $15,000.00 for this 
building, to be expended $7,500.00 in the year 1907 and 
$7,500.00 in the year 1908. In addition to that, there is 
$5,090.00 annual maintenance. None of this maintenance 
was used in the year 1907. 


DISEURSEMENTS FROM APPROPRIATION: 





PI MVOC ASE | ooh icc ce he ee dla a eb eee $ 7,750.00 
eae ree WO TB ISOATC lp Kit. oie edits cote ee «ss be a gets 626.44 
Petigommeecard Warrants 20.6. bee kes ewee cae os 3.00 
Pvotuevemmicc, Abstract. of) Title. 0.0 0.8500. 52.25 
Se MG 25 12; 0 a os, Binal ene s Sore See W's wus a lend eae 2.00 
Smoak and McCreary, 1 pair of mules and 1 horse 625.00 
Commercial Bank of High Point, interest........ 165.00 
J. KH. Brooks, salary for May 1, 1907 to Nov. 30, 

URETIUGS AL St IRs CORA Se a a a a ee oc 1,800.00 
Pomehomeaud Kitchen Wurniture. i265... 04.6.2. 446.24 
retiree ices and sLADOT. fs. 0... 0688 2. eee ke. 577.52 
Incidental Expenses, Stamps and Stationery...... 17.50 
PWM eee LT OCS. ocd Gist. 0m ues cleeele cae Siete sear de ates’ « 10.00 
LUD Gas) 2 NRA Si eae Pea ee 2,702.08 
Sia RRS aS oy oan foci a 6's she halons =e Hem ae By 7.90 
Farm Equipment, including $350.00 for fencing... 1,077.68 
Bie rem EGG MEER Sts Siete rece gS a) vais sa os RM cara aetis « €1.25 
Cash on Deposit, Commercial National Bank, High 

EOD ome Minehead ek ora, toh ai Re ALAS aural SU 13. 

SHON RCW Ny GR te SOE age ae AE SAE Sed On eRe A Lee Sn $15,936.17 

VALUE OF CROP RAISED ON FARM IN 1908 
ie meets tic ies OGM OL Tee itt erate te.) clalaycs bees abe = $552.50 
eet MOCO APPEL Verte co stdere'. ac oA ck ac oie es eget Se 240.00 
TEGOYWRE CEG. 0-38 here, Ai cr ig Ree an PP ae 100.00 
Meo PMU iLa eo omer ae LO Gil Cin erie reo hy-).0 eee coals SNe NG 100.00 
ISIE MER Ome OND ON Nas Patt. MA ens, op DN Sore, 5s Woe OM ela 59.00 








$1,042.50 










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TEU ALR Sa 

nt 

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all ts 
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HY hd 
ane 


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ce Nas ag 
Huguet 
Pa ndate! 
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tt 


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ne 
7 


tet iit 
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heathen | Hi hy 
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SSS 


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Lo intl 
UM ENO bale Hib, 
Masia Macuciuite 
ay iy i ben fe 
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deliv 
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rie 


SSS 


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it 
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tie if 
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nie 


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Wate etc 
y biped APN 


i 


Hin Hi 
ena (ite hort 
GabHonictant tatty 

hel ig phe beesht thy 
as PeAMIEAT Hea pc imstest 

ihe wath i) iat 


= 


pNe Taed See 
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ass a 


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mi {let 


poe et wee 


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He Hi i ie 
engi ‘i Pe 
Wlewuenty 
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x AN eet 
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Cipiedule jie (adi 
italiGii, 
ay } 


hy 


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cite me aN i 
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ih alt 
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iy nie aida 


SS 


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Sie 


bisbued 

Paes Lie 
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Cat 


iWebabiey vt vt 
Snr ea i aA 

Se EN Mg 

POSS ELE IRENE fab Gis Ok 

Seca 

ere tWkt 

my y 


At 


i a 
it 
; i is bs : 
Bieta ist ane 
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ithelle 

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WHEN 
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WED 
De Gele 
We tyis iu th 

Fhe ieitta Hib i 

it r Catal AEH: 

4 fietiayly i 
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me 
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